Application of cylinder cast 29365 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$389.40
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.
$649.00
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.
$62.65 with Highmark BCBS of PA vs $665.63 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 | $62.65 | ↓ -84% |
| Aetna | CHIP/Medicaid | $63.00 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $63.28 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $63.28 | ↓ -84% |
| Humana | Medicare | $63.91 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $64.86 | ↓ -83% |
| AmeriHealth Caritas | Medicaid | $64.86 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $65.54 | ↓ -83% |
| Cigna | Medicare | $66.44 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $68.34 | ↓ -82% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $68.34 | ↓ -82% |
| Aetna | Medicare | $68.93 | ↓ -82% |
| Geisinger | Medicaid | $83.39 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $90.40 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $90.48 | ↓ -77% |
| BCBS of Western NY | Medicare Advantage | $98.03 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $102.25 | ↓ -74% |
| UPMC Health Plan | Commercial | $158.20 | ↓ -59% |
| Geisinger | Commercial | $169.50 | ↓ -56% |
| InterGroup | PPO | $180.80 | ↓ -54% |
| Humana | Commercial | $180.80 | ↓ -54% |
| Galaxy Health Plan | Commercial | $180.80 | ↓ -54% |
| Multiplan | Worker's Compensation | $180.80 | ↓ -54% |
| Multiplan | PPO/Auto | $180.80 | ↓ -54% |
| United Healthcare | Medicare | $181.72 | ↓ -53% |
| Aetna | Commercial | $185.32 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $205.08 | ↓ -47% |
| UPMC Health Plan | CHIP | $417.76 | ↑ +7% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $546.62 | ↑ +40% |
| Highmark BCBS of PA | Managed Care - Social Mission | $546.62 | ↑ +40% |
| Highmark BCBS of PA | Managed Care | $665.63 | ↑ +71% |
| Highmark BCBS of PA | Commercial - Indemnity | $665.63 | ↑ +71% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Application of cylinder cast 29365 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $615.60 | $66.00 – $281.24 |
| UPMC Muncy | Muncy | $801.60 | $66.00 – $993.28 |
| UPMC Passavant-McCandless | Pittsburgh | $718.80 | $66.00 – $327.02 |
| UPMC Wellsboro | Wellsboro | $801.60 | $66.00 – $993.28 |
| Uniontown Hospital | Uniontown | $321.50 | $66.00 – $563.07 |