Unlisted ultrasound procedure at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$262.20
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.
$437.00
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.
$36.04 with UPMC Health Plan vs $9,837.74 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 | Commercial | $36.04 | ↓ -86% |
| UPMC Health Plan | CHIP | $152.95 | ↓ -42% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $161.69 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $161.69 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $161.69 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $161.69 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $161.69 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $166.28 | ↓ -37% |
| Aetna of PA | Medicare | $168.16 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $169.77 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $174.63 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $177.86 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $190.79 | ↓ -27% |
| United Healthcare | Commercial | $214.09 | ↓ -18% |
| Geisinger | Medicaid/CHIP | $240.35 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $240.35 | ↓ -8% |
| Cigna | Commercial | $305.90 | ↑ +17% |
| Horizon Health Plan | Commercial | $305.90 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $327.75 | ↑ +25% |
| InterGroup | Commercial | $349.60 | ↑ +33% |
| Health Coalition Partners | PPO | $349.60 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $415.15 | ↑ +58% |
| Cigna | Medicare | $9,837.74 | ↑ +3652% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Focus Healthcare | Workers Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted ultrasound procedure at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $280.20 | $46.33 – $396.95 |
| UPMC Northwest | Seneca | $306.00 | $30.89 – $90.67 |
| UPMC Hanover | Hanover | $280.20 | $48.94 – $134.58 |
| UPMC Lititz | Lititz | $280.20 | $48.94 – $135.31 |
| UPMC Magee | Pittsburgh | $78.60 | $18.77 – $92.34 |
| UPMC Memorial | York | $280.20 | $15.15 – $135.09 |
| UPMC Wellsboro | Wellsboro | $146.40 | $67.84 – $67.84 |
| Uniontown Hospital | Uniontown | $135.00 | $84.35 – $196.54 |