healthcosts.net
Urinalysis (with microscopy) at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$100.80
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.
$168.00
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.
$3.13 with UPMC Work Partners vs $1,936.03 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 | $3.13 | ↓ -97% |
| Aetna | CHIP/Medicaid | $3.30 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $3.30 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $3.45 | ↓ -97% |
| Focus Healthcare | Workers Compensation | $3.46 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $4.17 | ↓ -96% |
| United Healthcare | Commercial | $4.35 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.45 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.68 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5.11 | ↓ -95% |
| UPMC Health Plan | Commercial | $10.10 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $13.68 | ↓ -86% |
| Highmark BCBS of PA | Managed Care - Social Mission | $13.68 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Indemnity | $16.76 | ↓ -83% |
| Highmark BCBS of PA | Managed Care | $16.76 | ↓ -83% |
| UPMC Health Plan | CHIP | $30.10 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $31.82 | ↓ -68% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $31.82 | ↓ -68% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $31.82 | ↓ -68% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $31.82 | ↓ -68% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $31.82 | ↓ -68% |
| Aetna of PA | Medicare | $33.09 | ↓ -67% |
| United Healthcare | Unison Advantage Non Special Needs | $33.41 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $34.37 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $34.37 | ↓ -66% |
| United Healthcare | Unison Advantage Special Needs | $35.00 | ↓ -65% |
| UPMC Health Plan | Partners/Select | $37.55 | ↓ -63% |
| Horizon Health Plan | Commercial | $60.20 | ↓ -40% |
| Cigna | Commercial | $60.20 | ↓ -40% |
| Multiplan | Auto/PPO/Worker's Compensation | $64.50 | ↓ -36% |
| Health Coalition Partners | PPO | $68.80 | ↓ -32% |
| InterGroup | Commercial | $68.80 | ↓ -32% |
| Focus Healthcare | Disability/PPO/Auto | $81.70 | ↓ -19% |
| Cigna | Medicare | $1,936.03 | ↑ +1821% |
Visitor-reported prices
Comments
Urinalysis (with microscopy) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $64.80 | $3.00 – $86.40 |
| UPMC Passavant-McCandless | Pittsburgh | $131.40 | $2.95 – $186.15 |
| UPMC Hamot | Erie | $134.40 | $3.00 – $156.80 |
| UPMC Carlisle | Carlisle | $23.40 | $3.00 – $33.15 |
| UPMC Altoona | Altoona | $48.00 | $3.00 – $64.00 |
| UPMC Bedford | Everett | $33.00 | $1.14 – $49.50 |
| UPMC Cole | Coudersport | $34.20 | $2.06 – $45.60 |
| UPMC Community Osteopathic | Harrisburg | $23.40 | $3.00 – $28.05 |