Pr incision & drainage abscess simple/single at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$356.40
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.
$594.00
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.
$25.85 with Aetna vs $4,795.06 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 | $25.85 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $25.85 | ↓ -93% |
| United Healthcare Community Plan for Families | Unison Kids | $27.02 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $32.66 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $34.85 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.69 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $40.05 | ↓ -89% |
| UPMC Health Plan | CHIP | $74.55 | ↓ -79% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $78.81 | ↓ -78% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $78.81 | ↓ -78% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $78.81 | ↓ -78% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $78.81 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $78.81 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $81.05 | ↓ -77% |
| Aetna of PA | Medicare | $81.96 | ↓ -77% |
| United Healthcare | Unison Advantage Non Special Needs | $82.75 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $85.11 | ↓ -76% |
| United Healthcare | Unison Advantage Special Needs | $86.69 | ↓ -76% |
| UPMC Health Plan | Partners/Select | $93.00 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $139.04 | ↓ -61% |
| Horizon Health Plan | Commercial | $149.10 | ↓ -58% |
| Cigna | Commercial | $149.10 | ↓ -58% |
| Focus Healthcare | Workers Compensation | $153.59 | ↓ -57% |
| Multiplan | Auto/PPO/Worker's Compensation | $159.75 | ↓ -55% |
| InterGroup | Commercial | $170.40 | ↓ -52% |
| Health Coalition Partners | PPO | $170.40 | ↓ -52% |
| Focus Healthcare | Disability/PPO/Auto | $202.35 | ↓ -43% |
| United Healthcare | Commercial | $278.26 | ↓ -22% |
| UPMC Health Plan | Commercial | $296.12 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $524.57 | ↑ +47% |
| Highmark BCBS of PA | Managed Care - Social Mission | $524.57 | ↑ +47% |
| Highmark BCBS of PA | Managed Care | $642.53 | ↑ +80% |
| Highmark BCBS of PA | Commercial - Indemnity | $642.53 | ↑ +80% |
| Cigna | Medicare | $4,795.06 | ↑ +1245% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pr incision & drainage abscess simple/single at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $518.40 | $23.50 – $691.20 |
| UPMC Bedford | Everett | $324.00 | $24.68 – $486.00 |
| UPMC Carlisle | Carlisle | $510.60 | $29.84 – $810.89 |
| UPMC Cole | Coudersport | $371.40 | $24.39 – $2,094.25 |
| UPMC Community Osteopathic | Harrisburg | $510.60 | $29.84 – $810.89 |
| UPMC East | Monroeville | $543.60 | $25.85 – $724.80 |
| UPMC Hamot | Erie | $543.00 | $25.85 – $275.52 |
| UPMC Northwest | Seneca | $431.40 | $25.85 – $198.91 |