Scan duplex lower extremity arteries unilateral/limited study left at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$799.80
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.
?
What you pay up front if you don't use insurance.
$1,333.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$61.60 with UPMC Health Plan vs $3,962.11 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $61.60 | ↓ -92% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $65.12 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $65.12 | ↓ -92% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $65.12 | ↓ -92% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $65.12 | ↓ -92% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $65.12 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $66.97 | ↓ -92% |
| Aetna of PA | Medicare | $67.72 | ↓ -92% |
| United Healthcare | Unison Advantage Non Special Needs | $68.38 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $70.33 | ↓ -91% |
| United Healthcare | Unison Advantage Special Needs | $71.63 | ↓ -91% |
| UPMC Health Plan | Partners/Select | $76.84 | ↓ -90% |
| Aetna | CHIP/Medicaid | $106.88 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $106.88 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison Kids | $111.73 | ↓ -86% |
| Horizon Health Plan | Commercial | $123.20 | ↓ -85% |
| Cigna | Commercial | $123.20 | ↓ -85% |
| Multiplan | Auto/PPO/Worker's Compensation | $132.00 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $135.04 | ↓ -83% |
| InterGroup | Commercial | $140.80 | ↓ -82% |
| Health Coalition Partners | PPO | $140.80 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $144.09 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $151.68 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $165.58 | ↓ -79% |
| Focus Healthcare | Disability/PPO/Auto | $167.20 | ↓ -79% |
| UPMC Health Plan | Commercial | $222.31 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $352.88 | ↓ -56% |
| Focus Healthcare | Workers Compensation | $389.81 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $431.13 | ↓ -46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $431.13 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Indemnity | $528.08 | ↓ -34% |
| Highmark BCBS of PA | Managed Care | $528.08 | ↓ -34% |
| Cigna | Medicare | $3,962.11 | ↑ +395% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Scan duplex lower extremity arteries unilateral/limited study left at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,017.60 | $78.60 – $1,356.80 |
| UPMC Bedford | Everett | $655.80 | $36.58 – $983.70 |
| UPMC Carlisle | Carlisle | $394.20 | $90.01 – $558.45 |
| UPMC Cole | Coudersport | $509.40 | $102.02 – $679.20 |
| UPMC Community Osteopathic | Harrisburg | $488.40 | $17.40 – $374.81 |
| UPMC East | Monroeville | $495.00 | $96.13 – $660.00 |
| UPMC Hamot | Erie | $539.40 | $95.23 – $392.60 |
| UPMC Northwest | Seneca | $429.60 | $91.94 – $358.16 |