Sinus X-ray (complete) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$156.60
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.
$261.00
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.
$15.75 with UPMC Health Plan vs $1,013.04 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 | $15.75 | ↓ -90% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $16.65 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $16.65 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $16.65 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $16.65 | ↓ -89% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $16.65 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.12 | ↓ -89% |
| Aetna of PA | Medicare | $17.32 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $17.48 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $17.98 | ↓ -89% |
| United Healthcare | Unison Advantage Special Needs | $18.32 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $19.65 | ↓ -87% |
| Horizon Health Plan | Commercial | $31.50 | ↓ -80% |
| Cigna | Commercial | $31.50 | ↓ -80% |
| Multiplan | Auto/PPO/Worker's Compensation | $33.75 | ↓ -78% |
| InterGroup | Commercial | $36.00 | ↓ -77% |
| Health Coalition Partners | PPO | $36.00 | ↓ -77% |
| Aetna | CHIP/Medicaid | $37.27 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $37.27 | ↓ -76% |
| United Healthcare Community Plan for Families | Unison Kids | $38.96 | ↓ -75% |
| Focus Healthcare | Disability/PPO/Auto | $42.75 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $47.09 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $50.24 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $52.89 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $57.74 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $98.68 | ↓ -37% |
| Focus Healthcare | Workers Compensation | $109.00 | ↓ -30% |
| UPMC Health Plan | Commercial | $109.03 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $111.87 | ↓ -29% |
| Highmark BCBS of PA | Managed Care - Social Mission | $111.87 | ↓ -29% |
| United Healthcare | Commercial | $127.86 | ↓ -18% |
| Highmark BCBS of PA | Managed Care | $137.03 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity | $137.03 | ↓ -12% |
| Cigna | Medicare | $1,013.04 | ↑ +547% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Sinus X-ray (complete) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $295.20 | $22.50 – $393.60 |
| UPMC Bedford | Everett | $133.20 | $30.29 – $199.80 |
| UPMC Carlisle | Carlisle | $188.40 | $29.48 – $266.90 |
| UPMC Cole | Coudersport | $177.60 | $35.57 – $236.80 |
| UPMC Community Osteopathic | Harrisburg | $188.40 | $29.48 – $266.90 |
| UPMC East | Monroeville | $436.20 | $37.27 – $581.60 |
| UPMC Hamot | Erie | $370.80 | $29.26 – $118.50 |
| UPMC Northwest | Seneca | $194.40 | $37.27 – $101.69 |