CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: UPMC Kane

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 0.7× the $136 Medicare rate · typically $66–$167
modeled estimate · not a bill or quote
What this hospital charges insurers
$70
Below the fair price — a good deal
about $21 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $91 This hospital $70 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 $70

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

A fair price for a Office visit, established patient (30-39 min) is about $91 (about 0.7× the $136 Medicare rate). UPMC Kane charges insurers about $70, or about $103 in cash — below the fair price — a good deal. 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 $58 - $110 43%
Blue Cross Blue Shieldmajor $53 - $85 39%
Aetnamajor $58 - $86 43%
Cignamajor $64 - $5,043 47%
AmeriHealth $60 - $90 44%
Geisinger $76 56%
UPMC Health Plan $52 - $168 38%
+ 5 smaller / regional plans $93 - $213
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

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