healthcosts.net
Screening Mammogram at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$174.60
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.
$291.00
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.
$32.90 with UPMC Health Plan vs $2,116.13 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 | $32.90 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $34.78 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $34.78 | ↓ -80% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $34.78 | ↓ -80% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $34.78 | ↓ -80% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $34.78 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $35.77 | ↓ -80% |
| Aetna of PA | Medicare | $36.17 | ↓ -79% |
| United Healthcare | Unison Advantage Non Special Needs | $36.52 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $37.56 | ↓ -78% |
| United Healthcare | Unison Advantage Special Needs | $38.26 | ↓ -78% |
| UPMC Health Plan | Partners/Select | $41.04 | ↓ -76% |
| Horizon Health Plan | Commercial | $65.80 | ↓ -62% |
| Cigna | Commercial | $65.80 | ↓ -62% |
| Multiplan | Auto/PPO/Worker's Compensation | $70.50 | ↓ -60% |
| Health Coalition Partners | PPO | $75.20 | ↓ -57% |
| InterGroup | Commercial | $75.20 | ↓ -57% |
| Focus Healthcare | Disability/PPO/Auto | $89.30 | ↓ -49% |
| Aetna | CHIP/Medicaid | $115.17 | ↓ -34% |
| UPMC Health Plan | Managed Medicaid | $115.17 | ↓ -34% |
| United Healthcare | Commercial | $116.00 | ↓ -34% |
| United Healthcare Community Plan for Families | Unison Kids | $120.41 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $145.52 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicaid | $155.27 | ↓ -11% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $163.45 | ↓ -6% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $178.43 | ↑ +2% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $377.95 | ↑ +116% |
| Highmark BCBS of PA | Managed Care - Social Mission | $377.95 | ↑ +116% |
| UPMC Health Plan | Commercial | $406.06 | ↑ +133% |
| Highmark BCBS of PA | Commercial - Indemnity | $462.95 | ↑ +165% |
| Highmark BCBS of PA | Managed Care | $462.95 | ↑ +165% |
| Cigna | Medicare | $2,116.13 | ↑ +1112% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Focus Healthcare | Workers Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Screening Mammogram at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $345.00 | $60.95 – $460.00 |
| UPMC Bedford | Everett | $205.20 | $85.50 – $307.80 |
| UPMC Cole | Coudersport | $381.00 | $109.94 – $508.00 |
| UPMC Hamot | Erie | $205.20 | $51.30 – $239.40 |
| UPMC Carlisle | Carlisle | $257.40 | $58.77 – $506.81 |
| UPMC Community Osteopathic | Harrisburg | $399.60 | $38.80 – $551.43 |
| UPMC Hanover | Hanover | $257.40 | $81.51 – $506.81 |
| UPMC Horizon-Greenville | Greenville | $205.20 | $49.00 – $290.70 |