healthcosts.net
Thyroid (TSH) Test at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$108.00
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.
$180.00
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.
$16.60 with UPMC Work Partners vs $3,736.99 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 Work Partners | Workers Comp | $16.60 | ↓ -85% |
| Focus Healthcare | Workers Compensation | $18.34 | ↓ -83% |
| United Healthcare | Commercial | $23.10 | ↓ -79% |
| Aetna | CHIP/Medicaid | $25.53 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $25.53 | ↓ -76% |
| United Healthcare Community Plan for Families | Unison Kids | $26.69 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $32.26 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $34.42 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.23 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $39.55 | ↓ -63% |
| UPMC Health Plan | CHIP | $58.10 | ↓ -46% |
| UPMC Health Plan | Managed Medicare | $61.42 | ↓ -43% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $61.42 | ↓ -43% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $61.42 | ↓ -43% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $61.42 | ↓ -43% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $61.42 | ↓ -43% |
| Aetna of PA | Medicare | $63.88 | ↓ -41% |
| United Healthcare | Unison Advantage Non Special Needs | $64.49 | ↓ -40% |
| AmeriHealth Caritas | Medicare | $66.33 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $66.33 | ↓ -39% |
| United Healthcare | Unison Advantage Special Needs | $67.56 | ↓ -37% |
| UPMC Health Plan | Partners/Select | $72.48 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $72.51 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $72.51 | ↓ -33% |
| UPMC Health Plan | Commercial | $74.60 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Indemnity | $88.81 | ↓ -18% |
| Highmark BCBS of PA | Managed Care | $88.81 | ↓ -18% |
| Horizon Health Plan | Commercial | $116.20 | ↑ +8% |
| Cigna | Commercial | $116.20 | ↑ +8% |
| Multiplan | Auto/PPO/Worker's Compensation | $124.50 | ↑ +15% |
| Health Coalition Partners | PPO | $132.80 | ↑ +23% |
| InterGroup | Commercial | $132.80 | ↑ +23% |
| Focus Healthcare | Disability/PPO/Auto | $157.70 | ↑ +46% |
| Cigna | Medicare | $3,736.99 | ↑ +3360% |
Visitor-reported prices
Comments
Thyroid (TSH) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $251.40 | $16.60 – $335.20 |
| UPMC Passavant-McCandless | Pittsburgh | $400.80 | $15.61 – $505.75 |
| UPMC Hamot | Erie | $257.40 | $16.60 – $300.30 |
| UPMC Carlisle | Carlisle | $85.80 | $16.63 – $121.55 |
| UPMC Altoona | Altoona | $126.00 | $16.60 – $168.00 |
| UPMC Bedford | Everett | $91.20 | $6.06 – $136.80 |
| UPMC Cole | Coudersport | $78.60 | $10.92 – $104.80 |
| UPMC Community Osteopathic | Harrisburg | $85.80 | $16.63 – $101.30 |