Mucopolysaccharides at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$279.00
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.
$465.00
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.
$19.80 with UPMC Health Plan vs $10,468.08 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 | $19.80 | ↓ -93% |
| Aetna | CHIP/Medicaid | $19.80 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $20.70 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $25.02 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $26.69 | ↓ -90% |
| United Healthcare | Commercial | $27.37 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.10 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $28.17 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $30.68 | ↓ -89% |
| Focus Healthcare | Workers Compensation | $31.12 | ↓ -89% |
| UPMC Health Plan | Commercial | $120.82 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $123.01 | ↓ -56% |
| Highmark BCBS of PA | Managed Care - Social Mission | $123.01 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $150.67 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Indemnity | $150.67 | ↓ -46% |
| UPMC Health Plan | CHIP | $162.75 | ↓ -42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $172.05 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $172.05 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $172.05 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $172.05 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $172.05 | ↓ -38% |
| Aetna of PA | Medicare | $178.93 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $180.65 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $185.81 | ↓ -33% |
| AmeriHealth Caritas | Medicare | $185.81 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $189.25 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $203.02 | ↓ -27% |
| Cigna | Commercial | $325.50 | ↑ +17% |
| Horizon Health Plan | Commercial | $325.50 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $348.75 | ↑ +25% |
| Health Coalition Partners | PPO | $372.00 | ↑ +33% |
| InterGroup | Commercial | $372.00 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $441.75 | ↑ +58% |
| Cigna | Medicare | $10,468.08 | ↑ +3652% |
Visitor-reported prices
Comments
Mucopolysaccharides at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $280.80 | $18.00 – $374.40 |
| UPMC East | Monroeville | $217.80 | $18.00 – $290.40 |
| UPMC Hamot | Erie | $318.00 | $18.00 – $54.11 |
| UPMC Northwest | Seneca | $223.80 | $19.80 – $30.68 |
| UPMC Horizon-Greenville | Greenville | $223.20 | $18.00 – $53.48 |
| UPMC Jameson | New Castle | $226.20 | $19.80 – $55.06 |
| UPMC Magee | Pittsburgh | $162.00 | $19.80 – $54.62 |
| UPMC McKeesport | Mckeesport | $217.80 | $19.80 – $54.62 |