Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$433.20
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.
$722.00
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.
$43.26 with Aetna vs $4,547.42 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 | $43.26 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $43.26 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $45.23 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $54.66 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $58.33 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $61.40 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $67.03 | ↓ -85% |
| UPMC Health Plan | CHIP | $70.70 | ↓ -84% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $74.74 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $74.74 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $74.74 | ↓ -83% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $74.74 | ↓ -83% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $74.74 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $76.86 | ↓ -82% |
| Aetna of PA | Medicare | $77.73 | ↓ -82% |
| United Healthcare | Unison Advantage Non Special Needs | $78.48 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $80.72 | ↓ -81% |
| United Healthcare | Unison Advantage Special Needs | $82.21 | ↓ -81% |
| UPMC Health Plan | Partners/Select | $88.19 | ↓ -80% |
| United Healthcare | Commercial | $98.96 | ↓ -77% |
| Cigna | Commercial | $141.40 | ↓ -67% |
| Horizon Health Plan | Commercial | $141.40 | ↓ -67% |
| Multiplan | Auto/PPO/Worker's Compensation | $151.50 | ↓ -65% |
| Health Coalition Partners | PPO | $161.60 | ↓ -63% |
| InterGroup | Commercial | $161.60 | ↓ -63% |
| Focus Healthcare | Disability/PPO/Auto | $191.90 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $224.80 | ↓ -48% |
| UPMC Health Plan | Commercial | $246.80 | ↓ -43% |
| Focus Healthcare | Workers Compensation | $248.33 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $713.52 | ↑ +65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $713.52 | ↑ +65% |
| Highmark BCBS of PA | Commercial - Indemnity | $873.98 | ↑ +102% |
| Highmark BCBS of PA | Managed Care | $873.98 | ↑ +102% |
| Cigna | Medicare | $4,547.42 | ↑ +950% |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $670.80 | $39.33 – $894.40 |
| UPMC Carlisle | Carlisle | $1,930.80 | $49.95 – $9,539.00 |
| UPMC Cole | Coudersport | $120.60 | $41.30 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $1,930.80 | $51.52 – $2,735.30 |
| UPMC East | Monroeville | $1,322.40 | $43.26 – $1,763.20 |
| UPMC Hamot | Erie | $1,438.20 | $43.26 – $224.80 |
| UPMC Hanover | Hanover | $1,930.80 | $49.95 – $235.26 |
| UPMC Jameson | New Castle | $1,180.80 | $43.18 – $224.80 |