CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: UPMC Kane

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$78
about 0.7× the $118 Medicare rate · typically $66–$147
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $5 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $78 This hospital $73 Cash price $103 Hospital's list price $172

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $73

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $78 (about 0.7× the $118 Medicare rate). UPMC Kane charges insurers about $73, or about $103 in cash — about the fair price. Located in Kane, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $62 - $70 53%
Blue Cross Blue Shieldmajor $58 - $80 49%
Aetnamajor $60 - $66 51%
Cignamajor $64 - $3,872 54%
AmeriHealth $69 - $85 59%
Geisinger $75 64%
UPMC Health Plan $60 - $213 51%
+ 5 smaller / regional plans $92 - $163
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4372 Route 6, Kane, PA 16735
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals