UPMC · Kane, PA
37
In-network payers
138
Disclosed rate categories
31
Beds
Upmc Kane is a 31-bed voluntary non-profit - private hospital in Kane, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 138 disclosed rate categories.
CCN (Medicare provider number)
390104
NPI
1861478307
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
31
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Kane most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,929
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,185
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$316 - $949
from 2 insurers · median $632
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$193 - $1,256
from 2 insurers · median $724
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$118 - $236
from 2 insurers · median $177
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$17,133 - $17,223
from 2 insurers · median $17,178
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 71260
$170 - $1,103
from 2 insurers · median $637
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$108 - $353
from 2 insurers · median $230
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,929
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 29881
$6,108
negotiated rate
11 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$31,522
negotiated rate
Hospital reports orthopedic surgery services to CMS
X-ray and bone density
CPT 71046
$31 - $208
from 2 insurers · median $120
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$13,243
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 74176
$187 - $593
from 2 insurers · median $390
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,243
negotiated rate
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,242
negotiated rate
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$346 - $948
from 2 insurers · median $647
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$22,173
negotiated rate
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$1,597
negotiated rate
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$2,324
negotiated rate
33 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
MRI imaging
CPT 74183
$370 - $1,102
from 2 insurers · median $736
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$2,116
negotiated rate
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$78 - $350
from 2 insurers · median $214
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$120 - $459
from 2 insurers · median $289
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 239% | 14 | 1 |
| Insurer B* | 12 | 95% | 0 | 11 |
| Insurer C* | 6 | - | 2 | 0 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Kane.
4372 Route 6, Kane, PA 16735
(814) 837-8585
The nearest hospitals of similar type and size. Their rates are compared with Upmc Kane for the same insurers and services above.
Clearfield Hospital
▲ Rates typically 18% higher than Upmc Kane (21 services)
Punxsutawney Area Hospital
▼ Rates typically 11% lower than Upmc Kane (21 services)
Jones Memorial Hospital
Rates about the same as Upmc Kane (21 services)
Bertrand Chaffee Hospital
▼ Rates typically 36% lower than Upmc Kane (21 services)
Conemaugh Miners Medical Center
▲ Rates typically 119% higher than Upmc Kane (18 services)
Wyoming County Community Hospital
▼ Rates typically 37% lower than Upmc Kane (20 services)
Upmc Magee-Womens Hospital
Upmc Mckeesport
Upmc Hamot
Upmc Community Osteopathic
About Upmc Kane's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Kane range from $346 to $948 across 2 insurers. Blue Cross Blue Shield's rate is $948. The median at nearby comparable hospitals is $642. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Kane range from $316 to $949 across 2 insurers. Aetna's rate is $316. The median at nearby comparable hospitals is $550. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Kane range from $2,243 to $2,243 across 1 insurers. Blue Cross Blue Shield's rate is $2,243. The median at nearby comparable hospitals is $2,319. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upmc Kane range from $5,929 to $5,929 across 1 insurers. UnitedHealthcare's rate is $5,929. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Kane range from $118 to $236 across 2 insurers. Aetna's rate is $118. The median at nearby comparable hospitals is $142. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upmc Kane range from $17,133 to $17,223 across 2 insurers. UnitedHealthcare's rate is $17,133. The median at nearby comparable hospitals is $15,702. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Kane has 31 beds. Facility type: Short Term Acute Care Hospital.
Upmc Kane is located at 4372 Route 6, Kane, PA 16735. Its main phone number is (814) 837-8585.
Upmc Kane's CMS Certification Number (CCN), also called its Medicare provider number, is 390104.
The National Provider Identifier (NPI) on file for Upmc Kane is 1861478307.
Upmc Kane is affiliated with UPMC.
Upmc Kane lists 37 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
138 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers