healthcosts.net
Sinus CT scan (without contrast) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$820.20
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.
$1,367.00
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.
$89.60 with UPMC Health Plan vs $5,763.07 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 | $89.60 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $94.72 | ↓ -88% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $94.72 | ↓ -88% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $94.72 | ↓ -88% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $94.72 | ↓ -88% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $94.72 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $97.41 | ↓ -88% |
| Aetna of PA | Medicare | $98.51 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $99.46 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $102.30 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $104.19 | ↓ -87% |
| UPMC Health Plan | Partners/Select | $111.77 | ↓ -86% |
| Aetna | CHIP/Medicaid | $143.00 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $143.00 | ↓ -83% |
| United Healthcare Community Plan for Families | Unison Kids | $149.50 | ↓ -82% |
| Horizon Health Plan | Commercial | $179.20 | ↓ -78% |
| Cigna | Commercial | $179.20 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $180.69 | ↓ -78% |
| Multiplan | Auto/PPO/Worker's Compensation | $192.00 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $192.79 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $202.94 | ↓ -75% |
| Health Coalition Partners | PPO | $204.80 | ↓ -75% |
| InterGroup | Commercial | $204.80 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $221.55 | ↓ -73% |
| Focus Healthcare | Disability/PPO/Auto | $243.20 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $377.95 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $377.95 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity | $462.95 | ↓ -44% |
| Highmark BCBS of PA | Managed Care | $462.95 | ↓ -44% |
| UPMC Work Partners | Workers Comp | $540.24 | ↓ -34% |
| Focus Healthcare | Workers Compensation | $596.78 | ↓ -27% |
| UPMC Health Plan | Commercial | $625.28 | ↓ -24% |
| United Healthcare | Commercial | $701.00 | ↓ -15% |
| Cigna | Medicare | $5,763.07 | ↑ +603% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Sinus CT scan (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $1,863.00 | $101.65 – $2,484.00 |
| UPMC Passavant-McCandless | Pittsburgh | $1,795.80 | $94.21 – $2,544.05 |
| UPMC Hamot | Erie | $1,464.60 | $98.61 – $1,708.70 |
| UPMC Carlisle | Carlisle | $796.80 | $100.71 – $1,128.80 |
| UPMC Altoona | Altoona | $1,017.00 | $77.50 – $1,356.00 |
| UPMC Bedford | Everett | $741.00 | $36.58 – $1,111.50 |
| UPMC Cole | Coudersport | $1,144.80 | $136.50 – $1,526.40 |
| UPMC Community Osteopathic | Harrisburg | $796.80 | $101.53 – $1,128.80 |