X-ray of mammary ducts at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$547.20
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.
?
What you pay up front if you don't use insurance.
$912.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$83.68 with UPMC Health Plan vs $12,831.84 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $83.68 | ↓ -85% |
| Aetna | CHIP/Medicaid | $83.68 | ↓ -85% |
| United Healthcare Community Plan for Families | Unison Kids | $87.48 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $105.73 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $112.81 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $118.75 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $129.64 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $196.46 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $196.46 | ↓ -64% |
| UPMC Health Plan | CHIP | $199.50 | ↓ -64% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $210.90 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $210.90 | ↓ -61% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $210.90 | ↓ -61% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $210.90 | ↓ -61% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $210.90 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $211.77 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $216.88 | ↓ -60% |
| Aetna of PA | Medicare | $219.34 | ↓ -60% |
| United Healthcare | Unison Advantage Non Special Needs | $221.44 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $227.77 | ↓ -58% |
| United Healthcare | Unison Advantage Special Needs | $231.99 | ↓ -58% |
| Focus Healthcare | Workers Compensation | $233.93 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity | $240.65 | ↓ -56% |
| Highmark BCBS of PA | Managed Care | $240.65 | ↓ -56% |
| UPMC Health Plan | Partners/Select | $248.86 | ↓ -55% |
| United Healthcare | Commercial | $279.24 | ↓ -49% |
| UPMC Health Plan | Commercial | $316.08 | ↓ -42% |
| Cigna | Commercial | $399.00 | ↓ -27% |
| Horizon Health Plan | Commercial | $399.00 | ↓ -27% |
| Multiplan | Auto/PPO/Worker's Compensation | $427.50 | ↓ -22% |
| Health Coalition Partners | PPO | $456.00 | ↓ -17% |
| InterGroup | Commercial | $456.00 | ↓ -17% |
| Focus Healthcare | Disability/PPO/Auto | $541.50 | ↓ -1% |
| Cigna | Medicare | $12,831.84 | ↑ +2245% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
X-ray of mammary ducts at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $430.80 | $72.59 – $574.40 |
| UPMC Magee | Pittsburgh | $847.20 | $83.68 – $248.89 |
| Uniontown Hospital | Uniontown | $547.50 | $15.96 – $480.35 |