Pfc sigma fem post aug sz3 8mm at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$17,997.00
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.
$29,995.00
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.
$28.71 with PA Health & Wellness vs $3,028.28 with UPMC Health Plan — 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 |
|---|---|---|---|
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.71 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $28.71 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.43 | ↓ -100% |
| UPMC Health Plan | CHIP | $30.45 | ↓ -100% |
| UPMC Health Plan | Managed Medicare | $32.19 | ↓ -100% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $32.19 | ↓ -100% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $32.19 | ↓ -100% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $32.19 | ↓ -100% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $32.19 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $33.10 | ↓ -100% |
| Aetna of PA | Medicare | $33.48 | ↓ -100% |
| United Healthcare | Unison Advantage Non Special Needs | $33.80 | ↓ -100% |
| AmeriHealth Caritas | Medicare | $34.77 | ↓ -100% |
| United Healthcare | Unison Advantage Special Needs | $35.41 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $35.67 | ↓ -100% |
| UPMC Health Plan | Partners/Select | $37.98 | ↓ -100% |
| United Healthcare | Commercial | $42.62 | ↓ -100% |
| Cigna | Commercial | $60.90 | ↓ -100% |
| Horizon Health Plan | Commercial | $60.90 | ↓ -100% |
| Multiplan | Auto/PPO/Worker's Compensation | $65.25 | ↓ -100% |
| Health Coalition Partners | PPO | $69.60 | ↓ -100% |
| InterGroup | Commercial | $69.60 | ↓ -100% |
| Focus Healthcare | Disability/PPO/Auto | $82.65 | ↓ -100% |
| Cigna | Medicare | $1,958.54 | ↓ -89% |
| UPMC Health Plan | Commercial | $3,028.28 | ↓ -83% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Pfc sigma fem post aug sz3 8mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $19,252.20 | $19.00 – $4,112.42 |
| UPMC Bedford | Everett | $4,512.60 | $457.90 – $4,112.42 |
| UPMC Cole | Coudersport | $12,600.00 | $175.18 – $737.60 |
| UPMC East | Monroeville | $31,394.40 | $64.03 – $4,112.42 |
| UPMC Hamot | Erie | $34,521.00 | $798.37 – $798.37 |
| UPMC Northwest | Seneca | $26,256.60 | $2,072.09 – $4,976.39 |
| UPMC Horizon-Greenville | Greenville | $23,824.20 | $2,034.72 – $4,112.42 |
| UPMC Jameson | New Castle | $61,618.20 | $812.46 – $4,112.42 |