Arthrd pst tq 1ntrspc lum at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,948.20
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.
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What you pay up front if you don't use insurance.
$3,247.00
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.
$387.53 with Highmark BCBS of PA vs $8,439.81 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 | $387.53 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $391.44 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $391.44 | ↓ -80% |
| United Healthcare | Medicare | $391.44 | ↓ -80% |
| Humana | Medicare | $395.35 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $401.23 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $401.23 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $405.42 | ↓ -79% |
| Cigna | Medicare | $411.01 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $422.76 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $422.76 | ↓ -78% |
| Aetna | Medicare | $426.39 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $559.20 | ↓ -71% |
| Geisinger | Medicaid | $768.90 | ↓ -61% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $768.90 | ↓ -61% |
| UPMC Health Plan | Commercial | $978.60 | ↓ -50% |
| Geisinger | Commercial | $1,048.50 | ↓ -46% |
| InterGroup | PPO | $1,118.40 | ↓ -43% |
| Humana | Commercial | $1,118.40 | ↓ -43% |
| Galaxy Health Plan | Commercial | $1,118.40 | ↓ -43% |
| Multiplan | Worker's Compensation | $1,118.40 | ↓ -43% |
| Multiplan | PPO/Auto | $1,118.40 | ↓ -43% |
| Aetna | Commercial | $1,146.36 | ↓ -41% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +19% |
| UPMC Work Partners | Workers Comp | $4,270.18 | ↑ +119% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $6,930.76 | ↑ +256% |
| Highmark BCBS of PA | Managed Care - Social Mission | $6,930.76 | ↑ +256% |
| Highmark BCBS of PA | Commercial - Indemnity | $8,439.81 | ↑ +333% |
| Highmark BCBS of PA | Managed Care | $8,439.81 | ↑ +333% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Arthrd pst tq 1ntrspc lum at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $1,499.95 | $1,232.47 – $54,624.77 |
| UPMC Community Osteopathic | Harrisburg | not published | $1,310.00 – $23,763.60 |
| UPMC Hamot | Erie | not published | $2,604.10 – $25,500.07 |
| UPMC Lititz | Lititz | not published | $1,310.00 – $28,260.66 |
| UPMC Presbyterian | Pittsburgh | not published | $1,200.00 – $19,285.98 |
| UPMC Somerset | Somerset | not published | $1,150.00 – $18,933.57 |