healthcosts.net
Abdominal CT scan (with contrast) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$754.20
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.
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What you pay up front if you don't use insurance.
$1,257.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$156.50 with Aetna vs $1,279.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $156.50 | ↓ -79% |
| Geisinger | Medicaid | $207.16 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $224.77 | ↓ -70% |
| BCBS of Western NY | Medicare Advantage | $234.35 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $254.01 | ↓ -66% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $348.44 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $351.96 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $351.96 | ↓ -53% |
| United Healthcare | Medicare | $351.96 | ↓ -53% |
| Humana | Medicare | $355.48 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $360.76 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $360.76 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $364.53 | ↓ -52% |
| Cigna | Medicare | $369.56 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $380.12 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $380.12 | ↓ -50% |
| Aetna | Medicare | $383.38 | ↓ -49% |
| Aetna | Commercial | $480.35 | ↓ -36% |
| Highmark Wholecare (prev Gateway) | Medicaid | $502.80 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $732.91 | ↓ -3% |
| UPMC Health Plan | Commercial | $879.90 | ↑ +17% |
| Geisinger | Commercial | $942.75 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $955.14 | ↑ +27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $955.14 | ↑ +27% |
| Galaxy Health Plan | Commercial | $1,005.60 | ↑ +33% |
| Humana | Commercial | $1,005.60 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,005.60 | ↑ +33% |
| Multiplan | PPO/Auto | $1,005.60 | ↑ +33% |
| InterGroup | PPO | $1,005.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,163.08 | ↑ +54% |
| Highmark BCBS of PA | Managed Care | $1,163.08 | ↑ +54% |
| UPMC Health Plan | CHIP | $1,176.50 | ↑ +56% |
| United Healthcare | Commercial | $1,279.00 | ↑ +70% |
Visitor-reported prices
Comments
Abdominal CT scan (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $2,917.20 | $163.96 – $3,889.60 |
| UPMC Passavant-McCandless | Pittsburgh | $2,654.40 | $157.72 – $3,760.40 |
| UPMC Hamot | Erie | $4,104.00 | $146.43 – $4,788.00 |
| UPMC McKeesport | Mckeesport | $2,836.20 | $157.31 – $4,017.95 |
| UPMC Carlisle | Carlisle | $1,424.40 | $117.90 – $2,017.90 |
| UPMC Altoona | Altoona | $1,383.00 | $90.00 – $1,844.00 |
| UPMC Bedford | Everett | $957.60 | $61.23 – $1,436.40 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $83.40 – $1,176.50 |