Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$7.20
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.
$12.00
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.
$0.45 with PA Health & Wellness vs $135.07 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 |
|---|---|---|---|
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $0.45 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.45 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $0.45 | ↓ -94% |
| UPMC Health Plan | Commercial | $0.56 | ↓ -92% |
| United Healthcare | Commercial | $0.78 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Indemnity | $0.97 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.97 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $0.97 | ↓ -87% |
| Highmark BCBS of PA | Managed Care | $0.97 | ↓ -87% |
| UPMC Health Plan | CHIP | $2.10 | ↓ -71% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $2.22 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $2.22 | ↓ -69% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $2.22 | ↓ -69% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2.22 | ↓ -69% |
| UPMC Health Plan | Managed Medicare | $2.22 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $2.28 | ↓ -68% |
| Aetna of PA | Medicare | $2.31 | ↓ -68% |
| United Healthcare | Unison Advantage Non Special Needs | $2.33 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $2.40 | ↓ -67% |
| United Healthcare | Unison Advantage Special Needs | $2.44 | ↓ -66% |
| UPMC Health Plan | Partners/Select | $2.62 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $3.18 | ↓ -56% |
| Focus Healthcare | Workers Compensation | $3.52 | ↓ -51% |
| Cigna | Commercial | $4.20 | ↓ -42% |
| Horizon Health Plan | Commercial | $4.20 | ↓ -42% |
| Multiplan | Auto/PPO/Worker's Compensation | $4.50 | ↓ -38% |
| Health Coalition Partners | PPO | $4.80 | ↓ -33% |
| InterGroup | Commercial | $4.80 | ↓ -33% |
| Focus Healthcare | Disability/PPO/Auto | $5.70 | ↓ -21% |
| Cigna | Medicare | $135.07 | ↑ +1776% |
Visitor-reported prices
Comments
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $15.00 | $0.45 – $0.50 |
| UPMC Wellsboro | Wellsboro | $15.00 | $0.45 – $0.50 |
| UPMC Western Psychiatric | Pittsburgh | $44.25 | $0.45 – $11.93 |
| Uniontown Hospital | Uniontown | $18.59 | $0.99 – $0.99 |