healthcosts.net
Pelvic Ultrasound (limited) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$348.60
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.
$581.00
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.
$16.80 with UPMC Health Plan vs $1,080.58 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 | $16.80 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $17.76 | ↓ -95% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $17.76 | ↓ -95% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $17.76 | ↓ -95% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $17.76 | ↓ -95% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $17.76 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $18.26 | ↓ -95% |
| Aetna of PA | Medicare | $18.47 | ↓ -95% |
| United Healthcare | Unison Advantage Non Special Needs | $18.65 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $19.18 | ↓ -94% |
| United Healthcare | Unison Advantage Special Needs | $19.54 | ↓ -94% |
| UPMC Health Plan | Partners/Select | $20.96 | ↓ -94% |
| Horizon Health Plan | Commercial | $33.60 | ↓ -90% |
| Cigna | Commercial | $33.60 | ↓ -90% |
| Aetna | CHIP/Medicaid | $35.20 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $35.20 | ↓ -90% |
| Multiplan | Auto/PPO/Worker's Compensation | $36.00 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $36.80 | ↓ -89% |
| Health Coalition Partners | PPO | $38.40 | ↓ -89% |
| InterGroup | Commercial | $38.40 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $44.48 | ↓ -87% |
| Focus Healthcare | Disability/PPO/Auto | $45.60 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.46 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.96 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $54.53 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $103.67 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $103.67 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Indemnity | $126.98 | ↓ -64% |
| Highmark BCBS of PA | Managed Care | $126.98 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $137.63 | ↓ -61% |
| Focus Healthcare | Workers Compensation | $152.04 | ↓ -56% |
| UPMC Health Plan | Commercial | $153.48 | ↓ -56% |
| United Healthcare | Commercial | $284.63 | ↓ -18% |
| Cigna | Medicare | $1,080.58 | ↑ +210% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic Ultrasound (limited) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $633.60 | $35.20 – $844.80 |
| UPMC Passavant-McCandless | Pittsburgh | $519.60 | $35.20 – $736.10 |
| UPMC Hamot | Erie | $462.00 | $35.20 – $508.90 |
| UPMC Carlisle | Carlisle | $394.20 | $24.89 – $558.45 |
| UPMC Altoona | Altoona | $436.80 | $19.00 – $582.40 |
| UPMC Bedford | Everett | $216.00 | $33.60 – $324.00 |
| UPMC Cole | Coudersport | $280.20 | $33.60 – $373.60 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $24.89 – $301.75 |