99397 periodic comp preventive med 65+ years est at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$156.60
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.
?
What you pay up front if you don't use insurance.
$261.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$32.43 with Highmark BCBS of PA vs $660.20 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $32.43 | ↓ -79% |
| United Healthcare | Medicare | $32.76 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $32.76 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $32.76 | ↓ -79% |
| Humana | Medicare | $33.09 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $33.58 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $33.58 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $33.93 | ↓ -78% |
| Cigna | Medicare | $34.40 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $35.38 | ↓ -77% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $35.38 | ↓ -77% |
| Aetna | Medicare | $35.69 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.80 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $64.35 | ↓ -59% |
| Geisinger | Medicaid | $64.35 | ↓ -59% |
| UPMC Health Plan | Commercial | $81.90 | ↓ -48% |
| Geisinger | Commercial | $87.75 | ↓ -44% |
| Multiplan | PPO/Auto | $93.60 | ↓ -40% |
| Multiplan | Worker's Compensation | $93.60 | ↓ -40% |
| Galaxy Health Plan | Commercial | $93.60 | ↓ -40% |
| InterGroup | PPO | $93.60 | ↓ -40% |
| Humana | Commercial | $93.60 | ↓ -40% |
| Aetna | Commercial | $95.94 | ↓ -39% |
| UPMC Health Plan | CHIP | $109.09 | ↓ -30% |
| BCBS of Western NY | Medicare Advantage | $143.60 | ↓ -8% |
| United Healthcare | Commercial | $168.00 | ↑ +7% |
| Highmark BCBS of PA | Managed Care - Social Mission | $542.20 | ↑ +246% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $542.20 | ↑ +246% |
| Highmark BCBS of PA | Commercial - Indemnity | $660.20 | ↑ +322% |
| Highmark BCBS of PA | Managed Care | $660.20 | ↑ +322% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
99397 periodic comp preventive med 65+ years est at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,030.80 | $109.09 – $1,374.40 |
| UPMC Community Osteopathic | Harrisburg | $176.40 | $26.20 – $745.92 |
| UPMC Somerset | Somerset | $176.40 | $23.00 – $138.00 |
| UPMC Wellsboro | Wellsboro | $178.80 | $25.60 – $25.60 |
| UPMC Williamsport | Williamsport | $103.20 | $25.60 – $25.60 |