MRI chest w IV cont at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$2,676.60
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.
?
What you pay up front if you don't use insurance.
$4,461.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$431.72 with UPMC Health Plan vs $45,474.24 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $431.72 | ↓ -84% |
| Aetna | CHIP/Medicaid | $431.72 | ↓ -84% |
| United Healthcare Community Plan for Families | Unison Kids | $451.34 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $545.49 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $582.03 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $612.68 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $668.85 | ↓ -75% |
| UPMC Health Plan | CHIP | $707.00 | ↓ -74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $747.40 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $747.40 | ↓ -72% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $747.40 | ↓ -72% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $747.40 | ↓ -72% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $747.40 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $768.61 | ↓ -71% |
| Aetna of PA | Medicare | $777.30 | ↓ -71% |
| United Healthcare | Unison Advantage Non Special Needs | $784.77 | ↓ -71% |
| AmeriHealth Caritas | Medicare | $807.19 | ↓ -70% |
| United Healthcare | Unison Advantage Special Needs | $822.14 | ↓ -69% |
| UPMC Health Plan | Partners/Select | $881.93 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,125.45 | ↓ -58% |
| Focus Healthcare | Workers Compensation | $1,243.23 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,268.90 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,268.90 | ↓ -53% |
| United Healthcare | Commercial | $1,357.00 | ↓ -49% |
| Cigna | Commercial | $1,414.00 | ↓ -47% |
| Horizon Health Plan | Commercial | $1,414.00 | ↓ -47% |
| Multiplan | Auto/PPO/Worker's Compensation | $1,515.00 | ↓ -43% |
| Highmark BCBS of PA | Managed Care | $1,554.26 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,554.26 | ↓ -42% |
| InterGroup | Commercial | $1,616.00 | ↓ -40% |
| Health Coalition Partners | PPO | $1,616.00 | ↓ -40% |
| Focus Healthcare | Disability/PPO/Auto | $1,919.00 | ↓ -28% |
| UPMC Health Plan | Commercial | $4,825.76 | ↑ +80% |
| Cigna | Medicare | $45,474.24 | ↑ +1599% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
MRI chest w IV cont at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,329.40 | $312.20 – $4,439.20 |
| UPMC Carlisle | Carlisle | $4,837.20 | $408.98 – $6,852.70 |
| UPMC Cole | Coudersport | $1,421.40 | $412.09 – $1,895.20 |
| UPMC Community Osteopathic | Harrisburg | $4,837.20 | $408.98 – $6,852.70 |
| UPMC Hamot | Erie | $3,043.80 | $431.72 – $1,125.45 |
| UPMC Hanover | Hanover | $4,837.20 | $408.98 – $1,207.58 |
| UPMC Lititz | Lititz | $4,837.20 | $408.98 – $1,214.11 |
| UPMC Magee | Pittsburgh | $1,558.20 | $431.72 – $1,231.00 |