Pet image w/ct lmtd at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$4,769.40
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.
$7,949.00
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.
$1,427.53 with Aetna vs $178,947.89 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 | $1,427.53 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $1,427.53 | ↓ -70% |
| United Healthcare Community Plan for Families | Unison Kids | $1,492.41 | ↓ -69% |
| UPMC Health Plan | Commercial | $1,763.62 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $1,803.74 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,924.56 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,025.92 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,211.63 | ↓ -54% |
| UPMC Health Plan | CHIP | $2,782.15 | ↓ -42% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $2,941.13 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $2,941.13 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,941.13 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $2,941.13 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $2,941.13 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,024.59 | ↓ -37% |
| Aetna of PA | Medicare | $3,058.78 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $3,088.19 | ↓ -35% |
| United Healthcare | Commercial | $3,108.00 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $3,176.42 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $3,235.24 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $3,470.53 | ↓ -27% |
| Horizon Health Plan | Commercial | $5,564.30 | ↑ +17% |
| Cigna | Commercial | $5,564.30 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $5,961.75 | ↑ +25% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,997.30 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,997.30 | ↑ +26% |
| InterGroup | Commercial | $6,359.20 | ↑ +33% |
| Health Coalition Partners | PPO | $6,359.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $7,346.00 | ↑ +54% |
| Highmark BCBS of PA | Managed Care | $7,346.00 | ↑ +54% |
| Focus Healthcare | Disability/PPO/Auto | $7,551.55 | ↑ +58% |
| Cigna | Medicare | $178,947.89 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Focus Healthcare | Workers Compensation | not published by hospital | — |
Visitor-reported prices
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Pet image w/ct lmtd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,341.60 | $1,207.25 – $5,788.80 |
| UPMC Carlisle | Carlisle | $5,639.40 | $800.00 – $7,989.15 |
| UPMC Cole | Coudersport | $6,335.40 | $1,362.64 – $8,447.20 |
| UPMC Community Osteopathic | Harrisburg | $5,639.40 | $1,581.50 – $11,375.98 |
| UPMC Hanover | Hanover | $5,639.40 | $800.00 – $7,584.17 |
| UPMC Lititz | Lititz | $5,639.40 | $800.00 – $7,584.17 |
| UPMC Magee | Pittsburgh | $9,591.60 | $1,301.45 – $2,612.09 |
| UPMC Memorial | York | $5,639.40 | $800.00 – $7,584.17 |