Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$496.20
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.
$827.00
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.
$90.85 with UPMC Health Plan vs $8,149.34 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 Health Plan | Managed Medicaid | $90.85 | ↓ -82% |
| Aetna | CHIP/Medicaid | $90.85 | ↓ -82% |
| United Healthcare Community Plan for Families | Unison Kids | $94.98 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $114.79 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $122.48 | ↓ -75% |
| UPMC Health Plan | CHIP | $126.70 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $128.93 | ↓ -74% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $133.94 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $133.94 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $133.94 | ↓ -73% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $133.94 | ↓ -73% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $133.94 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $137.74 | ↓ -72% |
| Aetna of PA | Medicare | $139.30 | ↓ -72% |
| United Healthcare | Unison Advantage Non Special Needs | $140.64 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $140.75 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $144.66 | ↓ -71% |
| United Healthcare | Unison Advantage Special Needs | $147.33 | ↓ -70% |
| UPMC Health Plan | Partners/Select | $158.05 | ↓ -68% |
| United Healthcare | Commercial | $177.34 | ↓ -64% |
| Cigna | Commercial | $253.40 | ↓ -49% |
| Horizon Health Plan | Commercial | $253.40 | ↓ -49% |
| Multiplan | Auto/PPO/Worker's Compensation | $271.50 | ↓ -45% |
| InterGroup | Commercial | $289.60 | ↓ -42% |
| Health Coalition Partners | PPO | $289.60 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $327.19 | ↓ -34% |
| Focus Healthcare | Disability/PPO/Auto | $343.90 | ↓ -31% |
| Focus Healthcare | Workers Compensation | $361.43 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,009.56 | ↑ +103% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,009.56 | ↑ +103% |
| UPMC Health Plan | Commercial | $1,129.15 | ↑ +128% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,236.59 | ↑ +149% |
| Highmark BCBS of PA | Managed Care | $1,236.59 | ↑ +149% |
| Cigna | Medicare | $8,149.34 | ↑ +1542% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,150.20 | $82.59 – $1,533.60 |
| UPMC Carlisle | Carlisle | $924.60 | $104.89 – $2,479.92 |
| UPMC Cole | Coudersport | $751.20 | $85.10 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $924.60 | $108.19 – $1,705.37 |
| UPMC East | Monroeville | $2,069.40 | $90.85 – $2,759.20 |
| UPMC Hamot | Erie | $1,692.00 | $90.85 – $327.19 |
| UPMC Hanover | Hanover | $924.60 | $104.89 – $2,476.51 |
| UPMC Jameson | New Castle | $575.40 | $86.36 – $2,085.34 |