Aco cont gluc mnt phys/qhp eqp 95250aco at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$467.40
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.
$779.00
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.
$92.67 with Aetna vs $735.96 with Highmark BCBS of PA — 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 | $92.67 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $96.41 | ↓ -79% |
| Geisinger | Medicaid | $122.67 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $133.10 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $150.41 | ↓ -68% |
| BCBS of Western NY | Medicare Advantage | $150.57 | ↓ -68% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $215.94 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $218.12 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $218.12 | ↓ -53% |
| United Healthcare | Medicare | $218.12 | ↓ -53% |
| Humana | Medicare | $220.30 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $223.57 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $223.57 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $225.91 | ↓ -52% |
| Cigna | Medicare | $229.03 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $235.57 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $235.57 | ↓ -50% |
| Aetna | Medicare | $237.59 | ↓ -49% |
| UPMC Health Plan | CHIP | $255.25 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $311.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $545.30 | ↑ +17% |
| United Healthcare | Commercial | $545.30 | ↑ +17% |
| Geisinger | Commercial | $584.25 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $604.39 | ↑ +29% |
| Highmark BCBS of PA | Managed Care - Social Mission | $604.39 | ↑ +29% |
| InterGroup | PPO | $623.20 | ↑ +33% |
| Humana | Commercial | $623.20 | ↑ +33% |
| Galaxy Health Plan | Commercial | $623.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $623.20 | ↑ +33% |
| Multiplan | PPO/Auto | $623.20 | ↑ +33% |
| Aetna | Commercial | $638.78 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Indemnity | $735.96 | ↑ +57% |
| Highmark BCBS of PA | Managed Care | $735.96 | ↑ +57% |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $805.20 | $88.26 – $1,073.60 |
| UPMC Carlisle | Carlisle | $390.00 | $89.05 – $552.50 |
| UPMC Community Osteopathic | Harrisburg | $390.00 | $100.89 – $552.50 |
| UPMC Hamot | Erie | $611.40 | $96.41 – $333.90 |
| UPMC Hanover | Hanover | $390.00 | $100.89 – $196.98 |
| UPMC Lititz | Lititz | $390.00 | $100.89 – $198.03 |
| UPMC Magee | Pittsburgh | $658.80 | $96.41 – $150.41 |
| UPMC Memorial | York | $390.00 | $90.75 – $197.71 |