Scrotal (Testicle) Ultrasound at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$339.00
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.
$565.00
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.
$33.60 with UPMC Health Plan vs $2,161.15 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 | $33.60 | ↓ -90% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $35.52 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $35.52 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $35.52 | ↓ -90% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $35.52 | ↓ -90% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $35.52 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $36.53 | ↓ -89% |
| Aetna of PA | Medicare | $36.94 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $37.30 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $38.36 | ↓ -89% |
| United Healthcare | Unison Advantage Special Needs | $39.07 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $41.91 | ↓ -88% |
| Horizon Health Plan | Commercial | $67.20 | ↓ -80% |
| Cigna | Commercial | $67.20 | ↓ -80% |
| Multiplan | Auto/PPO/Worker's Compensation | $72.00 | ↓ -79% |
| InterGroup | Commercial | $76.80 | ↓ -77% |
| Health Coalition Partners | PPO | $76.80 | ↓ -77% |
| Aetna | CHIP/Medicaid | $81.40 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $81.40 | ↓ -76% |
| United Healthcare Community Plan for Families | Unison Kids | $85.10 | ↓ -75% |
| Focus Healthcare | Disability/PPO/Auto | $91.20 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $102.85 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $109.74 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $115.52 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $126.11 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $213.89 | ↓ -37% |
| Focus Healthcare | Workers Compensation | $236.27 | ↓ -30% |
| UPMC Health Plan | Commercial | $237.73 | ↓ -30% |
| United Healthcare | Commercial | $276.79 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $290.60 | ↓ -14% |
| Highmark BCBS of PA | Managed Care - Social Mission | $290.60 | ↓ -14% |
| Highmark BCBS of PA | Managed Care | $355.95 | ↑ +5% |
| Highmark BCBS of PA | Commercial - Indemnity | $355.95 | ↑ +5% |
| Cigna | Medicare | $2,161.15 | ↑ +538% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Scrotal (Testicle) Ultrasound at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $556.80 | $44.00 – $742.40 |
| UPMC Bedford | Everett | $299.40 | $36.58 – $449.10 |
| UPMC Carlisle | Carlisle | $394.20 | $57.64 – $558.45 |
| UPMC Cole | Coudersport | $249.00 | $77.70 – $332.00 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $34.40 – $322.84 |
| UPMC East | Monroeville | $966.00 | $81.40 – $1,288.00 |
| UPMC Hamot | Erie | $697.80 | $74.44 – $232.72 |
| UPMC Northwest | Seneca | $490.20 | $81.40 – $219.64 |