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Upper Back (Thoracic Spine) MRI (with and without contrast) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$4,313.40
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.
$7,189.00
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.
$162.05 with UPMC Health Plan vs $10,423.06 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 | CHIP | $162.05 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $171.31 | ↓ -96% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $171.31 | ↓ -96% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $171.31 | ↓ -96% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $171.31 | ↓ -96% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $171.31 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.17 | ↓ -96% |
| Aetna of PA | Medicare | $178.16 | ↓ -96% |
| United Healthcare | Unison Advantage Non Special Needs | $179.88 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $185.01 | ↓ -96% |
| United Healthcare | Unison Advantage Special Needs | $188.44 | ↓ -96% |
| UPMC Health Plan | Partners/Select | $202.15 | ↓ -95% |
| Horizon Health Plan | Commercial | $324.10 | ↓ -92% |
| Cigna | Commercial | $324.10 | ↓ -92% |
| Multiplan | Auto/PPO/Worker's Compensation | $347.25 | ↓ -92% |
| Health Coalition Partners | PPO | $370.40 | ↓ -91% |
| InterGroup | Commercial | $370.40 | ↓ -91% |
| Aetna | CHIP/Medicaid | $372.90 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $372.90 | ↓ -91% |
| United Healthcare Community Plan for Families | Unison Kids | $389.85 | ↓ -91% |
| Focus Healthcare | Disability/PPO/Auto | $439.85 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $471.18 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $502.74 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $529.21 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $577.72 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $926.39 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $926.39 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,134.72 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $1,134.72 | ↓ -74% |
| United Healthcare | Commercial | $1,357.00 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $2,405.45 | ↓ -44% |
| Focus Healthcare | Workers Compensation | $2,657.18 | ↓ -38% |
| UPMC Health Plan | Commercial | $2,822.80 | ↓ -35% |
| Cigna | Medicare | $10,423.06 | ↑ +142% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Upper Back (Thoracic Spine) MRI (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $316.41 – $8,499.15 |
| UPMC East | Monroeville | $6,218.40 | $341.40 – $8,291.20 |
| UPMC Hamot | Erie | $2,562.60 | $281.64 – $2,989.70 |
| UPMC Horizon-Greenville | Greenville | $3,601.80 | $304.83 – $5,102.55 |
| UPMC Jameson | New Castle | $2,946.00 | $309.35 – $4,320.80 |
| UPMC McKeesport | Mckeesport | $6,049.20 | $315.59 – $8,569.70 |
| UPMC Carlisle | Carlisle | $2,713.80 | $338.22 – $3,844.55 |
| UPMC Bedford | Everett | $2,916.00 | $122.85 – $4,374.00 |