Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$234.00
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.
?
What you pay up front if you don't use insurance.
$390.00
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.
$35.20 with Aetna vs $8,779.68 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $35.20 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $35.20 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison Kids | $36.80 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $44.48 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.46 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.96 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $54.53 | ↓ -77% |
| UPMC Health Plan | CHIP | $136.50 | ↓ -42% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $144.30 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $144.30 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $144.30 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $144.30 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $144.30 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $148.40 | ↓ -37% |
| Aetna of PA | Medicare | $150.07 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $151.51 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $155.84 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $158.73 | ↓ -32% |
| UPMC Work Partners | Workers Comp | $165.76 | ↓ -29% |
| UPMC Health Plan | Partners/Select | $170.27 | ↓ -27% |
| Focus Healthcare | Workers Compensation | $183.10 | ↓ -22% |
| Cigna | Commercial | $273.00 | ↑ +17% |
| Horizon Health Plan | Commercial | $273.00 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $292.50 | ↑ +25% |
| UPMC Health Plan | Commercial | $307.63 | ↑ +31% |
| InterGroup | Commercial | $312.00 | ↑ +33% |
| Health Coalition Partners | PPO | $312.00 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $370.50 | ↑ +58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $486.41 | ↑ +108% |
| Highmark BCBS of PA | Managed Care - Social Mission | $486.41 | ↑ +108% |
| Highmark BCBS of PA | Commercial - Indemnity | $595.80 | ↑ +155% |
| Highmark BCBS of PA | Managed Care | $595.80 | ↑ +155% |
| Cigna | Medicare | $8,779.68 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $52.20 | $32.00 – $165.76 |
| UPMC Carlisle | Carlisle | $520.80 | $40.64 – $875.08 |
| UPMC Cole | Coudersport | $369.60 | $13.58 – $2,094.25 |
| UPMC Community Osteopathic | Harrisburg | $520.80 | $40.64 – $875.08 |
| UPMC Hanover | Hanover | $520.80 | $40.64 – $875.08 |
| UPMC Lititz | Lititz | $520.80 | $40.64 – $875.08 |
| UPMC Magee | Pittsburgh | $636.60 | $35.20 – $204.60 |
| UPMC Memorial | York | $520.80 | $40.64 – $875.08 |