Optx acromclv dislc aqt/chrn at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,643.40
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.
$2,739.00
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.
$479.85 with UPMC Health Plan vs $30,863.95 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 | CHIP | $479.85 | ↓ -71% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $507.27 | ↓ -69% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $507.27 | ↓ -69% |
| UPMC Health Plan | Managed Medicare | $507.27 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $507.27 | ↓ -69% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $507.27 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $521.67 | ↓ -68% |
| Aetna of PA | Medicare | $527.56 | ↓ -68% |
| United Healthcare | Unison Advantage Non Special Needs | $532.63 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $547.85 | ↓ -67% |
| United Healthcare | Unison Advantage Special Needs | $558.00 | ↓ -66% |
| UPMC Health Plan | Partners/Select | $598.58 | ↓ -64% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $754.05 | ↓ -54% |
| Geisinger | Medicaid/CHIP | $754.05 | ↓ -54% |
| Cigna | Commercial | $959.70 | ↓ -42% |
| Horizon Health Plan | Commercial | $959.70 | ↓ -42% |
| Multiplan | Auto/PPO/Worker's Compensation | $1,028.25 | ↓ -37% |
| InterGroup | Commercial | $1,096.80 | ↓ -33% |
| Health Coalition Partners | PPO | $1,096.80 | ↓ -33% |
| Focus Healthcare | Disability/PPO/Auto | $1,302.45 | ↓ -21% |
| UPMC Work Partners | Workers Comp | $1,492.91 | ↓ -9% |
| Focus Healthcare | Workers Compensation | $1,649.14 | ↑ +0% |
| UPMC Health Plan | Commercial | $1,942.47 | ↑ +18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,432.11 | ↑ +48% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,432.11 | ↑ +48% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,979.05 | ↑ +81% |
| Highmark BCBS of PA | Managed Care | $2,979.05 | ↑ +81% |
| Cigna | Medicare | $30,863.95 | ↑ +1778% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Optx acromclv dislc aqt/chrn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,094.40 | $505.61 – $1,492.91 |
| UPMC Altoona | Altoona | not published | $836.96 – $7,355.55 |
| UPMC Carlisle | Carlisle | not published | $1,016.56 – $10,934.13 |
| UPMC Hamot | Erie | not published | $836.96 – $9,905.66 |
| WellSpan Gettysburg Hospital | Gettysburg | not published | $970.00 – $1,101.92 |