Phenytoin total therapeutic drug level at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$124.20
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.
$207.00
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.
$13.09 with UPMC Work Partners vs $4,659.98 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $13.09 | ↓ -89% |
| Aetna | CHIP/Medicaid | $14.30 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $14.30 | ↓ -88% |
| Focus Healthcare | Workers Compensation | $14.46 | ↓ -88% |
| United Healthcare Community Plan for Families | Unison Kids | $14.95 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $18.07 | ↓ -85% |
| United Healthcare | Commercial | $18.22 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.28 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20.29 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $22.15 | ↓ -82% |
| UPMC Health Plan | Commercial | $48.00 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $57.19 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $57.19 | ↓ -54% |
| Highmark BCBS of PA | Managed Care | $70.05 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Indemnity | $70.05 | ↓ -44% |
| UPMC Health Plan | CHIP | $72.45 | ↓ -42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $76.59 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $76.59 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $76.59 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $76.59 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $76.59 | ↓ -38% |
| Aetna of PA | Medicare | $79.65 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $80.42 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $82.72 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $82.72 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $84.25 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $90.38 | ↓ -27% |
| Cigna | Commercial | $144.90 | ↑ +17% |
| Horizon Health Plan | Commercial | $144.90 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $155.25 | ↑ +25% |
| InterGroup | Commercial | $165.60 | ↑ +33% |
| Health Coalition Partners | PPO | $165.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $196.65 | ↑ +58% |
| Cigna | Medicare | $4,659.98 | ↑ +3652% |
Visitor-reported prices
Comments
Phenytoin total therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $180.60 | $13.00 – $240.80 |
| UPMC Bedford | Everett | $75.00 | $4.78 – $112.50 |
| UPMC Carlisle | Carlisle | $94.80 | $13.00 – $134.30 |
| UPMC Cole | Coudersport | $91.80 | $8.61 – $122.40 |
| UPMC Community Osteopathic | Harrisburg | $94.80 | $13.00 – $134.30 |
| UPMC East | Monroeville | $198.60 | $13.00 – $264.80 |
| UPMC Hamot | Erie | $268.20 | $13.00 – $25.63 |
| UPMC Northwest | Seneca | $89.40 | $12.02 – $14.95 |