Therapy Exercise Session (each 15 minutes) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$90.60
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.
$151.00
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.
$9.22 with Aetna vs $2,476.32 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $9.22 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $9.22 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $9.64 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $11.65 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.43 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $13.08 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $14.28 | ↓ -84% |
| UPMC Health Plan | CHIP | $38.50 | ↓ -58% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $40.70 | ↓ -55% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $40.70 | ↓ -55% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $40.70 | ↓ -55% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $40.70 | ↓ -55% |
| UPMC Health Plan | Managed Medicare | $40.70 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicare | $41.85 | ↓ -54% |
| Aetna of PA | Medicare | $42.33 | ↓ -53% |
| United Healthcare | Unison Advantage Non Special Needs | $42.73 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $43.42 | ↓ -52% |
| AmeriHealth Caritas | Medicare | $43.96 | ↓ -51% |
| United Healthcare | Unison Advantage Special Needs | $44.77 | ↓ -51% |
| Focus Healthcare | Workers Compensation | $47.97 | ↓ -47% |
| UPMC Health Plan | Partners/Select | $48.03 | ↓ -47% |
| United Healthcare | Commercial | $53.89 | ↓ -41% |
| Cigna | Commercial | $77.00 | ↓ -15% |
| Horizon Health Plan | Commercial | $77.00 | ↓ -15% |
| Multiplan | Auto/PPO/Worker's Compensation | $82.50 | ↓ -9% |
| Health Coalition Partners | PPO | $88.00 | ↓ -3% |
| InterGroup | Commercial | $88.00 | ↓ -3% |
| Focus Healthcare | Disability/PPO/Auto | $104.50 | ↑ +15% |
| Highmark BCBS of PA | Managed Care - Social Mission | $124.47 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $124.47 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Indemnity | $152.47 | ↑ +68% |
| Highmark BCBS of PA | Managed Care | $152.47 | ↑ +68% |
| UPMC Health Plan | Commercial | $168.17 | ↑ +86% |
| Cigna | Medicare | $2,476.32 | ↑ +2633% |
Visitor-reported prices
Comments
Therapy Exercise Session (each 15 minutes) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $121.80 | $8.38 – $162.40 |
| UPMC Bedford | Everett | $75.00 | $8.80 – $112.50 |
| UPMC Carlisle | Carlisle | $73.80 | $10.14 – $387.00 |
| UPMC Cole | Coudersport | $76.80 | $8.80 – $102.40 |
| UPMC Community Osteopathic | Harrisburg | $73.80 | $10.64 – $87.53 |
| UPMC East | Monroeville | $87.60 | $9.22 – $116.80 |
| UPMC Hamot | Erie | $102.00 | $9.22 – $100.11 |
| UPMC Northwest | Seneca | $105.00 | $9.22 – $66.14 |