Shoulder AC Joint X-ray (both sides) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$133.20
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.
$222.00
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.
$14.35 with UPMC Health Plan vs $922.99 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 | $14.35 | ↓ -89% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $15.17 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $15.17 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $15.17 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $15.17 | ↓ -89% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $15.17 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.60 | ↓ -88% |
| Aetna of PA | Medicare | $15.78 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $15.93 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $16.38 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $16.69 | ↓ -87% |
| UPMC Health Plan | Partners/Select | $17.90 | ↓ -87% |
| Horizon Health Plan | Commercial | $28.70 | ↓ -78% |
| Cigna | Commercial | $28.70 | ↓ -78% |
| Multiplan | Auto/PPO/Worker's Compensation | $30.75 | ↓ -77% |
| Aetna | CHIP/Medicaid | $31.37 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $31.37 | ↓ -76% |
| United Healthcare Community Plan for Families | Unison Kids | $32.80 | ↓ -75% |
| InterGroup | Commercial | $32.80 | ↓ -75% |
| Health Coalition Partners | PPO | $32.80 | ↓ -75% |
| Focus Healthcare | Disability/PPO/Auto | $38.95 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $39.64 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $42.30 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.52 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $48.60 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $80.45 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $80.45 | ↓ -40% |
| UPMC Work Partners | Workers Comp | $81.40 | ↓ -39% |
| Focus Healthcare | Workers Compensation | $89.92 | ↓ -32% |
| Highmark BCBS of PA | Managed Care | $98.54 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Indemnity | $98.54 | ↓ -26% |
| UPMC Health Plan | Commercial | $99.46 | ↓ -25% |
| United Healthcare | Commercial | $108.76 | ↓ -18% |
| Cigna | Medicare | $922.99 | ↑ +593% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder AC Joint X-ray (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $153.60 | $19.00 – $204.80 |
| UPMC Carlisle | Carlisle | $188.40 | $24.89 – $266.90 |
| UPMC Cole | Coudersport | $192.00 | $28.64 – $256.00 |
| UPMC Community Osteopathic | Harrisburg | $188.40 | $24.89 – $266.90 |
| UPMC East | Monroeville | $436.20 | $31.37 – $581.60 |
| UPMC Hamot | Erie | $340.20 | $24.30 – $118.50 |
| UPMC Northwest | Seneca | $154.80 | $31.37 – $88.15 |
| UPMC Hanover | Hanover | $188.40 | $24.89 – $134.58 |