MRI cardiac morph & func wwo IV cont at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$8,672.40
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.
$14,454.00
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.
$535.18 with UPMC Health Plan vs $105,153.55 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 | $535.18 | ↓ -94% |
| Aetna | CHIP/Medicaid | $535.18 | ↓ -94% |
| United Healthcare Community Plan for Families | Unison Kids | $559.51 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $676.23 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $721.52 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $759.52 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $829.14 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $986.57 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,057.46 | ↓ -88% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,057.46 | ↓ -88% |
| Focus Healthcare | Workers Compensation | $1,089.81 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,295.27 | ↓ -85% |
| Highmark BCBS of PA | Managed Care | $1,295.27 | ↓ -85% |
| United Healthcare | Commercial | $1,357.00 | ↓ -84% |
| UPMC Health Plan | CHIP | $1,634.85 | ↓ -81% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,728.27 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $1,728.27 | ↓ -80% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $1,728.27 | ↓ -80% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $1,728.27 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $1,728.27 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,777.32 | ↓ -80% |
| Aetna of PA | Medicare | $1,797.40 | ↓ -79% |
| United Healthcare | Unison Advantage Non Special Needs | $1,814.68 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $1,866.53 | ↓ -78% |
| United Healthcare | Unison Advantage Special Needs | $1,901.10 | ↓ -78% |
| UPMC Health Plan | Partners/Select | $2,039.36 | ↓ -76% |
| UPMC Health Plan | Commercial | $2,674.96 | ↓ -69% |
| Cigna | Commercial | $3,269.70 | ↓ -62% |
| Horizon Health Plan | Commercial | $3,269.70 | ↓ -62% |
| Multiplan | Auto/PPO/Worker's Compensation | $3,503.25 | ↓ -60% |
| Health Coalition Partners | PPO | $3,736.80 | ↓ -57% |
| InterGroup | Commercial | $3,736.80 | ↓ -57% |
| Focus Healthcare | Disability/PPO/Auto | $4,437.45 | ↓ -49% |
| Cigna | Medicare | $105,153.55 | ↑ +1113% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
MRI cardiac morph & func wwo IV cont at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,583.60 | $384.65 – $7,444.80 |
| UPMC Carlisle | Carlisle | $2,713.80 | $338.22 – $3,844.55 |
| UPMC Community Osteopathic | Harrisburg | $2,713.80 | $347.79 – $3,844.55 |
| UPMC Hamot | Erie | $5,152.80 | $392.96 – $986.57 |
| UPMC Hanover | Hanover | $2,713.80 | $337.76 – $1,032.45 |
| UPMC Lititz | Lititz | $2,713.80 | $339.58 – $1,032.45 |
| UPMC Magee | Pittsburgh | $6,359.40 | $318.66 – $1,101.06 |
| UPMC Memorial | York | $2,713.80 | $357.18 – $3,292.71 |