MRA pelvis at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$0.60
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.
$1.00
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.
$0.35 with UPMC Health Plan vs $1,365.11 with UPMC Health Plan — 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 | CHIP | $0.35 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $0.37 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $0.37 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $0.37 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $0.37 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $0.37 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $0.38 | ↓ -37% |
| Aetna of PA | Medicare | $0.38 | ↓ -37% |
| United Healthcare | Unison Advantage Non Special Needs | $0.39 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $0.40 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $0.41 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $0.44 | ↓ -27% |
| Horizon Health Plan | Commercial | $0.70 | ↑ +17% |
| Cigna | Commercial | $0.70 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $0.75 | ↑ +25% |
| InterGroup | Commercial | $0.80 | ↑ +33% |
| Health Coalition Partners | PPO | $0.80 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $0.95 | ↑ +58% |
| Cigna | Medicare | $22.51 | ↑ +3652% |
| Aetna | CHIP/Medicaid | $463.03 | ↑ +77072% |
| UPMC Health Plan | Managed Medicaid | $463.03 | ↑ +77072% |
| United Healthcare Community Plan for Families | Unison Kids | $484.08 | ↑ +80580% |
| Geisinger | Medicaid/CHIP | $585.06 | ↑ +97410% |
| Highmark Wholecare (prev Gateway) | Medicaid | $624.25 | ↑ +103942% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $657.13 | ↑ +109422% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $717.37 | ↑ +119462% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,096.95 | ↑ +182725% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,096.95 | ↑ +182725% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,343.64 | ↑ +223840% |
| Highmark BCBS of PA | Managed Care | $1,343.64 | ↑ +223840% |
| UPMC Health Plan | Commercial | $1,365.11 | ↑ +227418% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
MRA pelvis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,536.60 | $399.30 – $2,048.80 |
| UPMC Magee | Pittsburgh | $2,081.40 | $382.46 – $717.37 |
| UPMC Wellsboro | Wellsboro | $1,811.20 | $435.20 – $717.37 |
| WellSpan Chambersburg Hospital | Chambersburg | $735.50 | $232.98 – $1,493.05 |