X-ray optic foramina at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$128.40
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.
$214.00
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.
$14.00 with UPMC Health Plan vs $900.48 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 | $14.00 | ↓ -89% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $14.80 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $14.80 | ↓ -88% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $14.80 | ↓ -88% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $14.80 | ↓ -88% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $14.80 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.22 | ↓ -88% |
| Aetna of PA | Medicare | $15.39 | ↓ -88% |
| United Healthcare | Unison Advantage Non Special Needs | $15.54 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $15.98 | ↓ -88% |
| United Healthcare | Unison Advantage Special Needs | $16.28 | ↓ -87% |
| UPMC Health Plan | Partners/Select | $17.46 | ↓ -86% |
| Horizon Health Plan | Commercial | $28.00 | ↓ -78% |
| Cigna | Commercial | $28.00 | ↓ -78% |
| Multiplan | Auto/PPO/Worker's Compensation | $30.00 | ↓ -77% |
| InterGroup | Commercial | $32.00 | ↓ -75% |
| Health Coalition Partners | PPO | $32.00 | ↓ -75% |
| Aetna | CHIP/Medicaid | $33.72 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $33.72 | ↓ -74% |
| United Healthcare Community Plan for Families | Unison Kids | $35.25 | ↓ -73% |
| Focus Healthcare | Disability/PPO/Auto | $38.00 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $42.60 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $45.45 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.85 | ↓ -63% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $52.23 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $80.43 | ↓ -37% |
| UPMC Health Plan | Commercial | $84.66 | ↓ -34% |
| Focus Healthcare | Workers Compensation | $88.84 | ↓ -31% |
| United Healthcare | Commercial | $104.84 | ↓ -18% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $110.49 | ↓ -14% |
| Highmark BCBS of PA | Managed Care - Social Mission | $110.49 | ↓ -14% |
| Highmark BCBS of PA | Commercial - Indemnity | $135.34 | ↑ +5% |
| Highmark BCBS of PA | Managed Care | $135.34 | ↑ +5% |
| Cigna | Medicare | $900.48 | ↑ +601% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
X-ray optic foramina at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $188.40 | $27.51 – $266.90 |
| UPMC Cole | Coudersport | $123.00 | $32.18 – $164.00 |
| UPMC Community Osteopathic | Harrisburg | $188.40 | $27.51 – $266.90 |
| UPMC Hanover | Hanover | $188.40 | $27.51 – $134.58 |
| UPMC Lititz | Lititz | $188.40 | $27.51 – $135.31 |
| UPMC Memorial | York | $188.40 | $27.51 – $149.78 |
| UPMC Muncy | Muncy | $292.80 | $26.88 – $93.08 |
| UPMC Somerset | Somerset | $188.40 | $24.15 – $83.95 |