Myocrd img pet 1std rst/strs at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$3,932.40
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.
$6,554.00
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.
$1,234.49 with Aetna vs $131,154.91 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $1,234.49 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $1,234.49 | ↓ -69% |
| United Healthcare Community Plan for Families | Unison Kids | $1,290.60 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $1,559.83 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,664.31 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,751.96 | ↓ -55% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,912.56 | ↓ -51% |
| UPMC Health Plan | CHIP | $2,039.10 | ↓ -48% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $2,155.62 | ↓ -45% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $2,155.62 | ↓ -45% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,155.62 | ↓ -45% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $2,155.62 | ↓ -45% |
| UPMC Health Plan | Managed Medicare | $2,155.62 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,216.79 | ↓ -44% |
| Aetna of PA | Medicare | $2,241.84 | ↓ -43% |
| United Healthcare | Unison Advantage Non Special Needs | $2,263.40 | ↓ -42% |
| AmeriHealth Caritas | Medicare | $2,328.07 | ↓ -41% |
| United Healthcare | Unison Advantage Special Needs | $2,371.18 | ↓ -40% |
| UPMC Health Plan | Partners/Select | $2,543.63 | ↓ -35% |
| United Healthcare | Commercial | $3,108.00 | ↓ -21% |
| UPMC Health Plan | Commercial | $3,204.30 | ↓ -19% |
| Horizon Health Plan | Commercial | $4,078.20 | ↑ +4% |
| Cigna | Commercial | $4,078.20 | ↑ +4% |
| Multiplan | Auto/PPO/Worker's Compensation | $4,369.50 | ↑ +11% |
| InterGroup | Commercial | $4,660.80 | ↑ +19% |
| Health Coalition Partners | PPO | $4,660.80 | ↑ +19% |
| Focus Healthcare | Disability/PPO/Auto | $5,534.70 | ↑ +41% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,943.13 | ↑ +51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,943.13 | ↑ +51% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,279.65 | ↑ +85% |
| Highmark BCBS of PA | Managed Care | $7,279.65 | ↑ +85% |
| Cigna | Medicare | $131,154.91 | ↑ +3235% |
| Focus Healthcare | Workers Compensation | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Myocrd img pet 1std rst/strs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,639.40 | $800.00 – $7,989.15 |
| UPMC Community Osteopathic | Harrisburg | $5,639.40 | $1,392.33 – $7,989.15 |
| UPMC Hanover | Hanover | $5,639.40 | $800.00 – $2,229.42 |
| UPMC Lititz | Lititz | $5,639.40 | $800.00 – $2,241.47 |
| UPMC Memorial | York | $5,639.40 | $800.00 – $7,091.44 |
| UPMC Presbyterian | Pittsburgh | $12,446.40 | $1,234.49 – $1,747.02 |
| UPMC Somerset | Somerset | $5,639.40 | $1,222.28 – $1,559.83 |