Pr cystourethroscopy with insertion indwelling ureteral stent at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$3,071.40
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.
$5,119.00
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.
$158.09 with UPMC Health Plan vs $115,238.93 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 | $158.09 | ↓ -95% |
| Aetna | CHIP/Medicaid | $158.09 | ↓ -95% |
| United Healthcare Community Plan for Families | Unison Kids | $165.28 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $199.76 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $213.14 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $224.36 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $244.93 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $658.62 | ↓ -79% |
| Focus Healthcare | Workers Compensation | $727.55 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,670.55 | ↓ -46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,670.55 | ↓ -46% |
| UPMC Health Plan | Commercial | $1,706.06 | ↓ -44% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $1,894.03 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $1,894.03 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $1,894.03 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $1,894.03 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,894.03 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,947.78 | ↓ -37% |
| Aetna of PA | Medicare | $1,969.79 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $1,988.73 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $2,045.55 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,046.23 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $2,046.23 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $2,083.43 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $2,234.96 | ↓ -27% |
| UPMC Health Plan | CHIP | $2,316.83 | ↓ -25% |
| United Healthcare | Commercial | $2,507.80 | ↓ -18% |
| Cigna | Commercial | $3,583.30 | ↑ +17% |
| Horizon Health Plan | Commercial | $3,583.30 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $3,839.25 | ↑ +25% |
| Health Coalition Partners | PPO | $4,095.20 | ↑ +33% |
| InterGroup | Commercial | $4,095.20 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $4,863.05 | ↑ +58% |
| Cigna | Medicare | $115,238.93 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pr cystourethroscopy with insertion indwelling ureteral stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,764.60 | $143.72 – $6,352.80 |
| UPMC Cole | Coudersport | $639.00 | $150.91 – $1,041.88 |
| UPMC East | Monroeville | $4,170.00 | $158.09 – $5,560.00 |
| UPMC Hamot | Erie | $4,273.20 | $158.09 – $4,782.42 |
| UPMC Horizon-Greenville | Greenville | $3,521.40 | $158.09 – $3,551.23 |
| UPMC Jameson | New Castle | $3,688.80 | $158.09 – $4,439.04 |
| UPMC Magee | Pittsburgh | $3,570.00 | $158.09 – $3,551.23 |
| UPMC McKeesport | Mckeesport | $3,787.80 | $158.09 – $3,617.00 |