Throat x-ray & fluoroscopy at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$259.80
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.
$433.00
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.
$20.90 with UPMC Health Plan vs $1,755.94 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 | $20.90 | ↓ -92% |
| Aetna | CHIP/Medicaid | $20.90 | ↓ -92% |
| United Healthcare Community Plan for Families | Unison Kids | $21.85 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $26.41 | ↓ -90% |
| UPMC Health Plan | CHIP | $27.30 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.18 | ↓ -89% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $28.86 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $28.86 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $28.86 | ↓ -89% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $28.86 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $28.86 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.66 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $29.68 | ↓ -89% |
| Aetna of PA | Medicare | $30.01 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $30.30 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $31.17 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $31.75 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32.38 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $34.05 | ↓ -87% |
| Horizon Health Plan | Commercial | $54.60 | ↓ -79% |
| Cigna | Commercial | $54.60 | ↓ -79% |
| Multiplan | Auto/PPO/Worker's Compensation | $58.50 | ↓ -77% |
| Health Coalition Partners | PPO | $62.40 | ↓ -76% |
| InterGroup | Commercial | $62.40 | ↓ -76% |
| Focus Healthcare | Disability/PPO/Auto | $74.10 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $149.44 | ↓ -42% |
| Focus Healthcare | Workers Compensation | $165.08 | ↓ -36% |
| UPMC Health Plan | Commercial | $167.42 | ↓ -36% |
| United Healthcare | Commercial | $212.13 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $349.29 | ↑ +34% |
| Highmark BCBS of PA | Managed Care - Social Mission | $349.29 | ↑ +34% |
| Highmark BCBS of PA | Managed Care | $427.84 | ↑ +65% |
| Highmark BCBS of PA | Commercial - Indemnity | $427.84 | ↑ +65% |
| Cigna | Medicare | $1,755.94 | ↑ +576% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Throat x-ray & fluoroscopy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $188.40 | $15.06 – $266.90 |
| UPMC Community Osteopathic | Harrisburg | $188.40 | $15.06 – $266.90 |
| UPMC Hanover | Hanover | $188.40 | $15.06 – $161.37 |
| UPMC Lititz | Lititz | $188.40 | $15.06 – $156.39 |
| UPMC Memorial | York | $188.40 | $15.06 – $349.37 |
| UPMC Somerset | Somerset | $188.40 | $13.22 – $149.44 |