Antithrombin iii activity at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$40.80
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.
$68.00
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.
$7.70 with BCBS of Western NY vs $66.88 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 |
|---|---|---|---|
| BCBS of Western NY | Medicare Advantage | $7.70 | ↓ -81% |
| Aetna | CHIP/Medicaid | $9.87 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $11.71 | ↓ -71% |
| Geisinger | Medicaid | $13.07 | ↓ -68% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $14.18 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $16.02 | ↓ -61% |
| Aetna | Commercial | $17.77 | ↓ -56% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.85 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $19.04 | ↓ -53% |
| United Healthcare | Medicare | $19.04 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $19.04 | ↓ -53% |
| Humana | Medicare | $19.23 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $19.52 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $19.52 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $19.72 | ↓ -52% |
| Cigna | Medicare | $19.99 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $20.56 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $20.56 | ↓ -50% |
| Aetna | Medicare | $20.74 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $36.57 | ↓ -10% |
| UPMC Health Plan | Commercial | $47.60 | ↑ +17% |
| Geisinger | Commercial | $51.00 | ↑ +25% |
| United Healthcare | Commercial | $53.00 | ↑ +30% |
| InterGroup | PPO | $54.40 | ↑ +33% |
| Humana | Commercial | $54.40 | ↑ +33% |
| Galaxy Health Plan | Commercial | $54.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $54.40 | ↑ +33% |
| Multiplan | PPO/Auto | $54.40 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $54.93 | ↑ +35% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $54.93 | ↑ +35% |
| Highmark BCBS of PA | Commercial - Indemnity | $66.88 | ↑ +64% |
| Highmark BCBS of PA | Managed Care | $66.88 | ↑ +64% |
Visitor-reported prices
Comments
Antithrombin iii activity at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $275.40 | $9.40 – $367.20 |
| UPMC Bedford | Everett | $60.00 | $4.28 – $90.00 |
| UPMC Carlisle | Carlisle | $60.00 | $9.40 – $85.00 |
| UPMC Community Osteopathic | Harrisburg | $60.00 | $9.40 – $85.00 |
| UPMC East | Monroeville | $121.20 | $9.40 – $161.60 |
| UPMC Hamot | Erie | $292.80 | $9.40 – $15.63 |
| UPMC Northwest | Seneca | $89.40 | $10.15 – $12.80 |
| UPMC Hanover | Hanover | $60.00 | $9.40 – $18.96 |