healthcosts.net
Pelvic CT scan (with and without contrast) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,403.40
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.
?
What you pay up front if you don't use insurance.
$2,339.00
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.
$142.80 with UPMC Health Plan vs $9,184.90 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 | CHIP | $142.80 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $150.96 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $150.96 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $150.96 | ↓ -89% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $150.96 | ↓ -89% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $150.96 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $155.24 | ↓ -89% |
| Aetna of PA | Medicare | $157.00 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $158.51 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $163.04 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $166.06 | ↓ -88% |
| Aetna | CHIP/Medicaid | $174.96 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $174.96 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $178.13 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison Kids | $182.91 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $221.06 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $235.87 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $248.29 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $271.05 | ↓ -81% |
| Horizon Health Plan | Commercial | $285.60 | ↓ -80% |
| Cigna | Commercial | $285.60 | ↓ -80% |
| Multiplan | Auto/PPO/Worker's Compensation | $306.00 | ↓ -78% |
| Health Coalition Partners | PPO | $326.40 | ↓ -77% |
| InterGroup | Commercial | $326.40 | ↓ -77% |
| Focus Healthcare | Disability/PPO/Auto | $387.60 | ↓ -72% |
| United Healthcare | Commercial | $701.00 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $727.25 | ↓ -48% |
| Highmark BCBS of PA | Managed Care - Social Mission | $727.25 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $862.88 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Indemnity | $890.79 | ↓ -37% |
| Highmark BCBS of PA | Managed Care | $890.79 | ↓ -37% |
| Focus Healthcare | Workers Compensation | $953.18 | ↓ -32% |
| UPMC Health Plan | Commercial | $1,018.02 | ↓ -27% |
| Cigna | Medicare | $9,184.90 | ↑ +554% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic CT scan (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $3,242.40 | $170.18 – $4,323.20 |
| UPMC Passavant-McCandless | Pittsburgh | $2,953.20 | $157.72 – $4,183.70 |
| UPMC Hamot | Erie | $4,104.00 | $140.66 – $4,788.00 |
| UPMC Carlisle | Carlisle | $1,424.40 | $134.28 – $2,017.90 |
| UPMC Altoona | Altoona | $1,627.20 | $102.50 – $2,169.60 |
| UPMC Bedford | Everett | $1,082.40 | $61.23 – $1,623.60 |
| UPMC Cole | Coudersport | $886.20 | $167.00 – $1,181.60 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $62.80 – $1,382.47 |