Ant instrumentation/4-7 vert seg 22846 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,027.20
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.
?
What you pay up front if you don't use insurance.
$1,712.00
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.
$205.41 with Highmark BCBS of PA vs $4,071.96 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 | $205.41 | ↓ -80% |
| United Healthcare | Medicare | $207.48 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $207.48 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $207.48 | ↓ -80% |
| Humana | Medicare | $209.55 | ↓ -80% |
| AmeriHealth Caritas | Medicaid | $212.67 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $212.67 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $214.89 | ↓ -79% |
| Cigna | Medicare | $217.85 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $224.08 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $224.08 | ↓ -78% |
| Aetna | Medicare | $226.00 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $296.40 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $407.55 | ↓ -60% |
| Geisinger | Medicaid | $407.55 | ↓ -60% |
| UPMC Health Plan | Commercial | $518.70 | ↓ -50% |
| Geisinger | Commercial | $555.75 | ↓ -46% |
| Multiplan | PPO/Auto | $592.80 | ↓ -42% |
| Multiplan | Worker's Compensation | $592.80 | ↓ -42% |
| Galaxy Health Plan | Commercial | $592.80 | ↓ -42% |
| InterGroup | PPO | $592.80 | ↓ -42% |
| Humana | Commercial | $592.80 | ↓ -42% |
| Aetna | Commercial | $607.62 | ↓ -41% |
| UPMC Work Partners | Workers Comp | $1,630.57 | ↑ +59% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +126% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,343.89 | ↑ +226% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,343.89 | ↑ +226% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,071.96 | ↑ +296% |
| Highmark BCBS of PA | Managed Care | $4,071.96 | ↑ +296% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ant instrumentation/4-7 vert seg 22846 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | not published | $932.79 – $23,763.60 |
| UPMC Hamot | Erie | not published | $1,444.90 – $1,769.11 |
| UPMC Passavant-McCandless | Pittsburgh | not published | $1,458.66 – $2,057.10 |
| UPMC Presbyterian | Pittsburgh | not published | $854.46 – $2,155.12 |