Assist-bilat spinal disk surgery add-on 63035 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$265.80
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.
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What you pay up front if you don't use insurance.
$443.00
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.
$54.61 with Highmark BCBS of PA vs $3,540.15 with UPMC Health Plan — 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 | $54.61 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $55.16 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $55.16 | ↓ -79% |
| United Healthcare | Medicare | $55.16 | ↓ -79% |
| Humana | Medicare | $55.71 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $56.54 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $56.54 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $57.13 | ↓ -79% |
| Cigna | Medicare | $57.92 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $59.57 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $59.57 | ↓ -78% |
| Aetna | Medicare | $60.09 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $78.80 | ↓ -70% |
| Geisinger | Medicaid | $108.35 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $108.35 | ↓ -59% |
| UPMC Health Plan | Commercial | $137.90 | ↓ -48% |
| Geisinger | Commercial | $147.75 | ↓ -44% |
| InterGroup | PPO | $157.60 | ↓ -41% |
| Humana | Commercial | $157.60 | ↓ -41% |
| Galaxy Health Plan | Commercial | $157.60 | ↓ -41% |
| Multiplan | Worker's Compensation | $157.60 | ↓ -41% |
| Multiplan | PPO/Auto | $157.60 | ↓ -41% |
| Aetna | Commercial | $161.54 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $981.71 | ↑ +269% |
| Highmark BCBS of PA | Managed Care - Social Mission | $981.71 | ↑ +269% |
| Highmark BCBS of PA | Managed Care | $1,195.43 | ↑ +350% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,195.43 | ↑ +350% |
| UPMC Work Partners | Workers Comp | $1,436.35 | ↑ +440% |
| BCBS of Western NY | Medicare Advantage | $1,954.88 | ↑ +635% |
| UPMC Health Plan | CHIP | $3,540.15 | ↑ +1232% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Assist-bilat spinal disk surgery add-on 63035 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $2,356.67 | $200.84 – $417.14 |
| UPMC Altoona | Altoona | not published | $368.21 – $3,540.15 |
| UPMC Community Osteopathic | Harrisburg | not published | $238.56 – $11,127.90 |
| UPMC East | Monroeville | not published | $371.72 – $2,022.38 |
| UPMC Hamot | Erie | not published | $368.21 – $4,395.23 |
| UPMC Passavant-McCandless | Pittsburgh | not published | $371.72 – $1,972.81 |
| UPMC Presbyterian | Pittsburgh | not published | $218.53 – $2,006.13 |
| UPMC Somerset | Somerset | not published | $209.43 – $2,120.42 |