Pt application of modality traction mechanical at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$90.60
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.
$151.00
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.
$41.65 with UPMC Health Plan vs $2,678.93 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 | CHIP | $41.65 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $43.65 | ↓ -52% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $44.03 | ↓ -51% |
| UPMC Health Plan | Managed Medicare | $44.03 | ↓ -51% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $44.03 | ↓ -51% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $44.03 | ↓ -51% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $44.03 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $45.28 | ↓ -50% |
| Aetna of PA | Medicare | $45.79 | ↓ -49% |
| United Healthcare | Unison Advantage Non Special Needs | $46.23 | ↓ -49% |
| AmeriHealth Caritas | Medicare | $47.55 | ↓ -48% |
| Focus Healthcare | Workers Compensation | $48.21 | ↓ -47% |
| United Healthcare | Unison Advantage Special Needs | $48.43 | ↓ -47% |
| UPMC Health Plan | Partners/Select | $51.96 | ↓ -43% |
| United Healthcare | Commercial | $58.30 | ↓ -36% |
| Highmark BCBS of PA | Managed Care - Social Mission | $61.07 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $61.07 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $65.45 | ↓ -28% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $65.45 | ↓ -28% |
| Highmark BCBS of PA | Managed Care | $74.81 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $74.81 | ↓ -17% |
| Cigna | Commercial | $83.30 | ↓ -8% |
| Horizon Health Plan | Commercial | $83.30 | ↓ -8% |
| Multiplan | Auto/PPO/Worker's Compensation | $89.25 | ↓ -1% |
| Health Coalition Partners | PPO | $95.20 | ↑ +5% |
| InterGroup | Commercial | $95.20 | ↑ +5% |
| Focus Healthcare | Disability/PPO/Auto | $113.05 | ↑ +25% |
| UPMC Health Plan | Commercial | $168.17 | ↑ +86% |
| Cigna | Medicare | $2,678.93 | ↑ +2857% |
Visitor-reported prices
Comments
Pt application of modality traction mechanical at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $65.40 | $14.87 – $87.20 |
| UPMC East | Monroeville | $93.00 | $21.77 – $124.00 |
| UPMC Hamot | Erie | $187.80 | $21.56 – $100.11 |
| UPMC Mercy | Pittsburgh | $130.20 | $21.56 – $59.48 |
| UPMC Muncy | Muncy | $103.20 | $16.76 – $45.14 |
| UPMC Presbyterian | Pittsburgh | $213.60 | $15.71 – $121.78 |
| UPMC St. Margaret | Pittsburgh | $133.20 | $21.77 – $92.42 |
| UPMC Wellsboro | Wellsboro | $124.80 | $16.76 – $38.06 |