Treat knee fracture 27530 at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$397.80
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.
$663.00
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.
$141.35 with UPMC Health Plan vs $12,426.62 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 | $141.35 | ↓ -64% |
| Aetna | CHIP/Medicaid | $141.35 | ↓ -64% |
| United Healthcare Community Plan for Families | Unison Kids | $147.78 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $178.60 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicaid | $190.57 | ↓ -52% |
| UPMC Health Plan | CHIP | $193.20 | ↓ -51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $200.60 | ↓ -50% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $204.24 | ↓ -49% |
| UPMC Health Plan | Managed Medicare | $204.24 | ↓ -49% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $204.24 | ↓ -49% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $204.24 | ↓ -49% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $204.24 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicare | $210.04 | ↓ -47% |
| Aetna of PA | Medicare | $212.41 | ↓ -47% |
| United Healthcare | Unison Advantage Non Special Needs | $214.45 | ↓ -46% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $218.99 | ↓ -45% |
| AmeriHealth Caritas | Medicare | $220.58 | ↓ -45% |
| United Healthcare | Unison Advantage Special Needs | $224.66 | ↓ -44% |
| UPMC Health Plan | Partners/Select | $241.00 | ↓ -39% |
| United Healthcare | Commercial | $324.80 | ↓ -18% |
| Cigna | Commercial | $386.40 | ↓ -3% |
| Horizon Health Plan | Commercial | $386.40 | ↓ -3% |
| Multiplan | Auto/PPO/Worker's Compensation | $414.00 | ↑ +4% |
| InterGroup | Commercial | $441.60 | ↑ +11% |
| Health Coalition Partners | PPO | $441.60 | ↑ +11% |
| Focus Healthcare | Disability/PPO/Auto | $524.40 | ↑ +32% |
| UPMC Work Partners | Workers Comp | $723.66 | ↑ +82% |
| Focus Healthcare | Workers Compensation | $799.39 | ↑ +101% |
| UPMC Health Plan | Commercial | $1,262.26 | ↑ +217% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,317.59 | ↑ +231% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,317.59 | ↑ +231% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,613.89 | ↑ +306% |
| Highmark BCBS of PA | Managed Care | $1,613.89 | ↑ +306% |
| Cigna | Medicare | $12,426.62 | ↑ +3024% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Treat knee fracture 27530 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $759.00 | $163.19 – $1,075.25 |
| UPMC Cole | Coudersport | $1,266.00 | $91.75 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $759.00 | $163.19 – $1,714.16 |
| UPMC Hanover | Hanover | $759.00 | $163.19 – $1,016.56 |
| UPMC Lititz | Lititz | $759.00 | $163.19 – $1,016.56 |
| UPMC Memorial | York | $759.00 | $163.19 – $1,016.56 |
| UPMC Mercy | Pittsburgh | $3,073.80 | $141.35 – $798.66 |
| UPMC Muncy | Muncy | $825.60 | $141.35 – $993.28 |