Mayo factor vii at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$334.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$557.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$5.50 with UPMC Health Plan vs $12,539.18 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $5.50 | ↓ -98% |
| Aetna | CHIP/Medicaid | $5.50 | ↓ -98% |
| United Healthcare Community Plan for Families | Unison Kids | $5.75 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $6.95 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.42 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.81 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8.52 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $17.69 | ↓ -95% |
| Focus Healthcare | Workers Compensation | $19.54 | ↓ -94% |
| United Healthcare | Commercial | $24.61 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $77.26 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $77.26 | ↓ -77% |
| UPMC Health Plan | Commercial | $88.41 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $94.63 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Indemnity | $94.63 | ↓ -72% |
| UPMC Health Plan | CHIP | $194.95 | ↓ -42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $206.09 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $206.09 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $206.09 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $206.09 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $206.09 | ↓ -38% |
| Aetna of PA | Medicare | $214.33 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $216.39 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $222.58 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $222.58 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $226.70 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $243.19 | ↓ -27% |
| Cigna | Commercial | $389.90 | ↑ +17% |
| Horizon Health Plan | Commercial | $389.90 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $417.75 | ↑ +25% |
| InterGroup | Commercial | $445.60 | ↑ +33% |
| Health Coalition Partners | PPO | $445.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $529.15 | ↑ +58% |
| Cigna | Medicare | $12,539.18 | ↑ +3652% |
Visitor-reported prices
Comments
Mayo factor vii at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $338.40 | $5.00 – $451.20 |
| UPMC Bedford | Everett | $235.80 | $5.00 – $353.70 |
| UPMC Carlisle | Carlisle | $91.20 | $5.00 – $129.20 |
| UPMC Community Osteopathic | Harrisburg | $91.20 | $5.00 – $129.20 |
| UPMC East | Monroeville | $282.60 | $5.00 – $376.80 |
| UPMC Hamot | Erie | $395.40 | $5.00 – $38.66 |
| UPMC Northwest | Seneca | $131.40 | $5.50 – $18.80 |
| UPMC Horizon-Greenville | Greenville | $149.40 | $5.00 – $33.59 |