Sigmoidoscopy w/tumr remove at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,398.60
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.
$2,331.00
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.
$134.15 with UPMC Health Plan vs $39,215.90 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 | Managed Medicaid | $134.15 | ↓ -90% |
| Aetna | CHIP/Medicaid | $134.15 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $140.24 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $169.50 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $180.85 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $190.38 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $207.83 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $392.16 | ↓ -72% |
| Focus Healthcare | Workers Compensation | $433.20 | ↓ -69% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $644.54 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $644.54 | ↓ -54% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $644.54 | ↓ -54% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $644.54 | ↓ -54% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $644.54 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicare | $662.83 | ↓ -53% |
| Aetna of PA | Medicare | $670.32 | ↓ -52% |
| United Healthcare | Unison Advantage Non Special Needs | $676.77 | ↓ -52% |
| AmeriHealth Caritas | Medicare | $696.10 | ↓ -50% |
| United Healthcare | Unison Advantage Special Needs | $708.99 | ↓ -49% |
| UPMC Health Plan | Partners/Select | $760.56 | ↓ -46% |
| United Healthcare | Commercial | $853.41 | ↓ -39% |
| Cigna | Commercial | $1,219.40 | ↓ -13% |
| Horizon Health Plan | Commercial | $1,219.40 | ↓ -13% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,247.19 | ↓ -11% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,247.19 | ↓ -11% |
| UPMC Health Plan | Commercial | $1,274.31 | ↓ -9% |
| Multiplan | Auto/PPO/Worker's Compensation | $1,306.50 | ↓ -7% |
| InterGroup | Commercial | $1,393.60 | ↓ -0% |
| Health Coalition Partners | PPO | $1,393.60 | ↓ -0% |
| Highmark BCBS of PA | Managed Care | $1,527.67 | ↑ +9% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,527.67 | ↑ +9% |
| Focus Healthcare | Disability/PPO/Auto | $1,654.90 | ↑ +18% |
| UPMC Health Plan | CHIP | $1,730.51 | ↑ +24% |
| Cigna | Medicare | $39,215.90 | ↑ +2704% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Sigmoidoscopy w/tumr remove at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,459.20 | $121.95 – $1,945.60 |
| UPMC Bedford | Everett | $3,209.40 | $128.05 – $4,814.10 |
| UPMC Cole | Coudersport | $396.60 | $128.05 – $771.51 |
| UPMC East | Monroeville | $2,281.20 | $134.15 – $3,041.60 |
| UPMC Hamot | Erie | $2,279.40 | $134.15 – $1,634.95 |
| UPMC Northwest | Seneca | $1,558.80 | $134.15 – $1,180.32 |
| UPMC Horizon-Greenville | Greenville | $1,872.60 | $134.15 – $1,214.04 |
| UPMC Jameson | New Castle | $1,872.60 | $134.15 – $1,517.55 |