healthcosts.net
Sinus CT scan (with and without contrast) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$1,102.80
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.
$1,838.00
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.
$128.10 with UPMC Health Plan vs $8,239.39 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 | $128.10 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $135.42 | ↓ -88% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $135.42 | ↓ -88% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $135.42 | ↓ -88% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $135.42 | ↓ -88% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $135.42 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $139.26 | ↓ -87% |
| Aetna of PA | Medicare | $140.84 | ↓ -87% |
| United Healthcare | Unison Advantage Non Special Needs | $142.19 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $146.25 | ↓ -87% |
| United Healthcare | Unison Advantage Special Needs | $148.96 | ↓ -86% |
| UPMC Health Plan | Partners/Select | $159.80 | ↓ -86% |
| Aetna | CHIP/Medicaid | $182.30 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $182.30 | ↓ -83% |
| United Healthcare Community Plan for Families | Unison Kids | $190.59 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $230.35 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $245.78 | ↓ -78% |
| Horizon Health Plan | Commercial | $256.20 | ↓ -77% |
| Cigna | Commercial | $256.20 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $258.72 | ↓ -77% |
| Multiplan | Auto/PPO/Worker's Compensation | $274.50 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $282.44 | ↓ -74% |
| Health Coalition Partners | PPO | $292.80 | ↓ -73% |
| InterGroup | Commercial | $292.80 | ↓ -73% |
| Focus Healthcare | Disability/PPO/Auto | $347.70 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $538.94 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $538.94 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity | $660.14 | ↓ -40% |
| Highmark BCBS of PA | Managed Care | $660.14 | ↓ -40% |
| United Healthcare | Commercial | $701.00 | ↓ -36% |
| UPMC Work Partners | Workers Comp | $772.56 | ↓ -30% |
| Focus Healthcare | Workers Compensation | $853.41 | ↓ -23% |
| UPMC Health Plan | Commercial | $912.37 | ↓ -17% |
| Cigna | Medicare | $8,239.39 | ↑ +647% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Sinus CT scan (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $3,242.40 | $170.18 – $4,323.20 |
| UPMC Passavant-McCandless | Pittsburgh | $2,953.20 | $157.72 – $4,183.70 |
| UPMC Hamot | Erie | $2,052.60 | $146.43 – $2,394.70 |
| UPMC Lititz | Lititz | $1,294.80 | $131.00 – $1,834.30 |
| UPMC Carlisle | Carlisle | $1,294.80 | $131.00 – $1,834.30 |
| UPMC Altoona | Altoona | $1,456.80 | $100.00 – $1,942.40 |
| UPMC Cole | Coudersport | $1,477.80 | $174.02 – $1,970.40 |
| UPMC Community Osteopathic | Harrisburg | $1,294.80 | $131.00 – $1,834.30 |