Splint finger 4 prong foam sm at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$155.40
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.
$259.00
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.
$3.85 with UPMC Health Plan vs $247.63 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 | $3.85 | ↓ -98% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $4.07 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $4.07 | ↓ -97% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $4.07 | ↓ -97% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $4.07 | ↓ -97% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $4.07 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.19 | ↓ -97% |
| Aetna of PA | Medicare | $4.23 | ↓ -97% |
| United Healthcare | Unison Advantage Non Special Needs | $4.27 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $4.40 | ↓ -97% |
| United Healthcare | Unison Advantage Special Needs | $4.48 | ↓ -97% |
| UPMC Health Plan | Partners/Select | $4.80 | ↓ -97% |
| United Healthcare | Commercial | $5.39 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6.05 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $6.05 | ↓ -96% |
| Cigna | Commercial | $7.70 | ↓ -95% |
| Horizon Health Plan | Commercial | $7.70 | ↓ -95% |
| Multiplan | Auto/PPO/Worker's Compensation | $8.25 | ↓ -95% |
| InterGroup | Commercial | $8.80 | ↓ -94% |
| Health Coalition Partners | PPO | $8.80 | ↓ -94% |
| Focus Healthcare | Disability/PPO/Auto | $10.45 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $48.12 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $48.12 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Indemnity | $58.95 | ↓ -62% |
| Highmark BCBS of PA | Managed Care | $58.95 | ↓ -62% |
| UPMC Health Plan | Commercial | $70.31 | ↓ -55% |
| Cigna | Medicare | $247.63 | ↑ +59% |
| Focus Healthcare | Workers Compensation | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Splint finger 4 prong foam sm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $250.80 | $20.92 – $334.40 |
| UPMC Mercy | Pittsburgh | $214.80 | $20.73 – $75.40 |
| UPMC St. Margaret | Pittsburgh | $222.60 | $20.92 – $117.16 |
| UPMC Williamsport | Williamsport | $2.40 | $0.81 – $2.70 |