X-ray exam of salivary gland at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$133.20
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.
$222.00
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.
$13.30 with UPMC Health Plan vs $855.46 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 | $13.30 | ↓ -90% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $14.06 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $14.06 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $14.06 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $14.06 | ↓ -89% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $14.06 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.46 | ↓ -89% |
| Aetna of PA | Medicare | $14.62 | ↓ -89% |
| United Healthcare | Unison Advantage Non Special Needs | $14.76 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $15.18 | ↓ -89% |
| United Healthcare | Unison Advantage Special Needs | $15.47 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $16.59 | ↓ -88% |
| Horizon Health Plan | Commercial | $26.60 | ↓ -80% |
| Cigna | Commercial | $26.60 | ↓ -80% |
| Multiplan | Auto/PPO/Worker's Compensation | $28.50 | ↓ -79% |
| InterGroup | Commercial | $30.40 | ↓ -77% |
| Health Coalition Partners | PPO | $30.40 | ↓ -77% |
| Aetna | CHIP/Medicaid | $31.94 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $31.94 | ↓ -76% |
| United Healthcare Community Plan for Families | Unison Kids | $33.40 | ↓ -75% |
| Focus Healthcare | Disability/PPO/Auto | $36.10 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $40.36 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $43.07 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $45.33 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $49.49 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $77.99 | ↓ -41% |
| UPMC Health Plan | Commercial | $82.93 | ↓ -38% |
| Focus Healthcare | Workers Compensation | $86.16 | ↓ -35% |
| United Healthcare | Commercial | $108.76 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $121.41 | ↓ -9% |
| Highmark BCBS of PA | Managed Care - Social Mission | $121.41 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Indemnity | $148.71 | ↑ +12% |
| Highmark BCBS of PA | Managed Care | $148.71 | ↑ +12% |
| Cigna | Medicare | $855.46 | ↑ +542% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of salivary gland at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $142.80 | $30.49 – $190.40 |
| UPMC Muncy | Muncy | $501.60 | $26.88 – $91.01 |
| UPMC Wellsboro | Wellsboro | $606.40 | $26.88 – $77.99 |