Screen c/v thin layer by md at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$95.40
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.
?
What you pay up front if you don't use insurance.
$159.00
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.
$31.64 with United Healthcare vs $3,556.90 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 |
|---|---|---|---|
| United Healthcare | Commercial | $31.64 | ↓ -67% |
| UPMC Health Plan | CHIP | $55.30 | ↓ -42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $58.46 | ↓ -39% |
| UPMC Health Plan | Managed Medicare | $58.46 | ↓ -39% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $58.46 | ↓ -39% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $58.46 | ↓ -39% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $58.46 | ↓ -39% |
| Aetna of PA | Medicare | $60.80 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $61.38 | ↓ -36% |
| AmeriHealth Caritas | Medicare | $63.14 | ↓ -34% |
| Highmark Wholecare (prev Gateway) | Medicare | $63.14 | ↓ -34% |
| United Healthcare | Unison Advantage Special Needs | $64.31 | ↓ -33% |
| UPMC Health Plan | Partners/Select | $68.98 | ↓ -28% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $86.90 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $86.90 | ↓ -9% |
| Highmark BCBS of PA | Managed Care - Social Mission | $95.30 | ↓ -0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $95.30 | ↓ -0% |
| Cigna | Commercial | $110.60 | ↑ +16% |
| Horizon Health Plan | Commercial | $110.60 | ↑ +16% |
| Highmark BCBS of PA | Commercial - Indemnity | $116.73 | ↑ +22% |
| Highmark BCBS of PA | Managed Care | $116.73 | ↑ +22% |
| Multiplan | Auto/PPO/Worker's Compensation | $118.50 | ↑ +24% |
| Health Coalition Partners | PPO | $126.40 | ↑ +32% |
| InterGroup | Commercial | $126.40 | ↑ +32% |
| UPMC Health Plan | Commercial | $142.14 | ↑ +49% |
| Focus Healthcare | Disability/PPO/Auto | $150.10 | ↑ +57% |
| Cigna | Medicare | $3,556.90 | ↑ +3628% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Screen c/v thin layer by md at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $76.20 | $18.41 – $193.03 |
| UPMC Somerset | Somerset | $76.20 | $16.16 – $115.62 |