Testicular imaging w/vasc flow at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$492.00
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.
$820.00
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.
$140.84 with UPMC Health Plan vs $18,459.84 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 | $140.84 | ↓ -71% |
| Aetna | CHIP/Medicaid | $140.84 | ↓ -71% |
| United Healthcare Community Plan for Families | Unison Kids | $147.25 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $177.96 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $189.88 | ↓ -61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $199.88 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $218.21 | ↓ -56% |
| UPMC Health Plan | CHIP | $287.00 | ↓ -42% |
| UPMC Health Plan | Managed Medicare | $303.40 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $303.40 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $303.40 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $303.40 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $303.40 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $312.01 | ↓ -37% |
| Aetna of PA | Medicare | $315.54 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $318.57 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $327.67 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $333.74 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $358.01 | ↓ -27% |
| United Healthcare | Commercial | $401.72 | ↓ -18% |
| UPMC Work Partners | Workers Comp | $453.33 | ↓ -8% |
| UPMC Health Plan | Commercial | $469.52 | ↓ -5% |
| Focus Healthcare | Workers Compensation | $500.77 | ↑ +2% |
| Horizon Health Plan | Commercial | $574.00 | ↑ +17% |
| Cigna | Commercial | $574.00 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $615.00 | ↑ +25% |
| InterGroup | Commercial | $656.00 | ↑ +33% |
| Health Coalition Partners | PPO | $656.00 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $679.38 | ↑ +38% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $679.38 | ↑ +38% |
| Focus Healthcare | Disability/PPO/Auto | $779.00 | ↑ +58% |
| Highmark BCBS of PA | Commercial - Indemnity | $832.16 | ↑ +69% |
| Highmark BCBS of PA | Managed Care | $832.16 | ↑ +69% |
| Cigna | Medicare | $18,459.84 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Testicular imaging w/vasc flow at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,228.80 | $124.45 – $1,740.80 |
| UPMC Cole | Coudersport | $703.80 | $134.44 – $938.40 |
| UPMC Community Osteopathic | Harrisburg | $1,228.80 | $124.45 – $1,740.80 |
| UPMC Hamot | Erie | $815.40 | $140.84 – $546.54 |
| UPMC Hanover | Hanover | $1,228.80 | $124.45 – $614.19 |
| UPMC Lititz | Lititz | $1,228.80 | $124.45 – $617.50 |
| UPMC Memorial | York | $1,228.80 | $124.45 – $1,005.17 |
| UPMC Muncy | Muncy | $1,193.40 | $121.60 – $506.22 |