UPMC Kane Pricing Analysis
Source: Hospital MRF file & CMS Medicare PFS 2026
B
Below Average Cost
25x
the federal fair-price benchmark
2,362
75 comparable to federal rates
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Biggest Overcharges at This Hospital
These are the procedures where UPMC Kanecharges the most compared to the federal fair-price benchmark. “They Charge” is what appears on your bill. “Gov. Benchmark” is what the government determines the doctor's work is worth.
| Procedure | Code | They Charge | Gov. Benchmark | You Overpay |
|---|---|---|---|---|
| ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOSTIC | 45990 | $6,755 | $100 | +$6,656 |
| ARTHRODESIS, WITH TENDON LENGTHENING AND ADVANCEMENT, MIDTARSAL, TARSAL NAVICULAR-CUNEIFORM (EG, MILLER TYPE PROCEDURE) | 28737 | $31,663 | $632 | +$31,031 |
| ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPLE OR TRANSVERSE; | 28730 | $31,663 | $678 | +$30,985 |
| OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, INCLUDES REPAIR OF TUBEROSITY(S), WHEN PERFORMED; | 23615 | $31,663 | $824 | +$30,840 |
| REPAIR, PRIMARY, DISRUPTED LIGAMENT, ANKLE; COLLATERAL | 27695 | $17,211 | $466 | +$16,746 |
| TC MR LOWER EXTRE WO/W BI | 75561 | $12,695 | $365 | +$12,330 |
| TC MR LOWER EXT JT WO/WBI | 73723 | $12,517 | $381 | +$12,136 |
| ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER)) | 23472 | $44,835 | $1,300 | +$43,535 |
| TC MR UPPER EXT JT WO/WBI | 73223 | $12,517 | $383 | +$12,134 |
| DISKOGRAPHY LUMBAR | 72295 | $4,645 | $122 | +$4,523 |
| REPAIR, PRIMARY, DISRUPTED LIGAMENT, ANKLE; BOTH COLLATERAL LIGAMENTS | 27696 | $17,211 | $510 | +$16,701 |
| ECHO GUIDE FOR BIOPSY | 76942 | $2,014 | $64 | +$1,949 |
| TC MR LOWER EXT JT WO BI | 73721 | $6,387 | $204 | +$6,183 |
| TC MR UPPER EXTRE WO/W BI | 73220 | $12,701 | $407 | +$12,294 |
| TC MR UPPER EXT JT W/O BI | 73221 | $6,349 | $205 | +$6,144 |
| REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL, INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED, TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM, INCARCERATED OR STRANGULATED | 49592 | $13,882 | $437 | +$13,445 |
| TC MR LOWER EXTREM WO BI | 73718 | $6,436 | $222 | +$6,213 |
| TC MR LOWER EXTREM W BI | 73719 | $7,492 | $261 | +$7,231 |
| OPEN TREATMENT OF MEDIAL MALLEOLUS FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED | 27766 | $17,211 | $580 | +$16,632 |
| SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; PRIMARY | 27385 | $17,211 | $589 | +$16,623 |
About UPMC Kane Pricing
UPMC Kane in , PA charges about 25x the government benchmark — more expensive than average across 75procedures we could compare. This data comes directly from the hospital's own published price file — they're required by federal law to share it.
What this means for your bill
If you're uninsured, out-of-network, or have a high-deductible plan, these prices directly affect what you pay. If you have in-network insurance, your insurer has likely negotiated much lower rates — but you may still owe a percentage of the hospital's high list price for your coinsurance or deductible.
Can I negotiate?
Yes. Most hospitals will reduce bills when patients present evidence. Our bill checker compares your specific charges to fair-price benchmarks and generates a dispute letter you can send to the billing department.
Compare with other hospitals
See how UPMC Kane stacks up against other hospitals in the area.
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