Administration vaccine pneumococcal at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$86.40
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.
$144.00
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.
$9.70 with Highmark BCBS of PA vs $211.46 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $9.70 | ↓ -89% |
| United Healthcare | Medicare | $9.80 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $9.80 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $9.80 | ↓ -89% |
| Humana | Medicare | $9.90 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $10.04 | ↓ -88% |
| AmeriHealth Caritas | Medicaid | $10.04 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $10.15 | ↓ -88% |
| Cigna | Medicare | $10.29 | ↓ -88% |
| Aetna | CHIP/Medicaid | $10.50 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $10.58 | ↓ -88% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $10.58 | ↓ -88% |
| Aetna | Medicare | $10.68 | ↓ -88% |
| Geisinger | Medicaid | $13.90 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.00 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.08 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.04 | ↓ -80% |
| BCBS of Western NY | Medicare Advantage | $18.79 | ↓ -78% |
| UPMC Health Plan | Commercial | $24.50 | ↓ -72% |
| Geisinger | Commercial | $26.25 | ↓ -70% |
| InterGroup | PPO | $28.00 | ↓ -68% |
| Humana | Commercial | $28.00 | ↓ -68% |
| Galaxy Health Plan | Commercial | $28.00 | ↓ -68% |
| Multiplan | Worker's Compensation | $28.00 | ↓ -68% |
| Multiplan | PPO/Auto | $28.00 | ↓ -68% |
| Aetna | Commercial | $28.70 | ↓ -67% |
| UPMC Health Plan | CHIP | $42.50 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $173.66 | ↑ +101% |
| Highmark BCBS of PA | Managed Care - Social Mission | $173.66 | ↑ +101% |
| Highmark BCBS of PA | Commercial - Indemnity | $211.46 | ↑ +145% |
| Highmark BCBS of PA | Managed Care | $211.46 | ↑ +145% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12.00 | $7.53 – $17.04 |
| UPMC Bedford | Everett | $12.00 | $8.00 – $20.88 |
| UPMC Carlisle | Carlisle | $72.60 | $12.70 – $102.85 |
| UPMC Community Osteopathic | Harrisburg | $72.60 | $7.20 – $48.57 |
| UPMC East | Monroeville | $12.00 | $6.60 – $46.19 |
| UPMC Hamot | Erie | $12.00 | $4.05 – $54.83 |
| UPMC Northwest | Seneca | $12.00 | $11.00 – $46.19 |
| UPMC Hanover | Hanover | $72.60 | $12.70 – $70.53 |