Basic vestibular evaluation at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$134.40
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.
?
What you pay up front if you don't use insurance.
$224.00
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.
$27.72 with Highmark BCBS of PA vs $276.75 with UPMC Health Plan — 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 | $27.72 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $28.00 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $28.00 | ↓ -79% |
| United Healthcare | Medicare | $28.00 | ↓ -79% |
| Humana | Medicare | $28.28 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $28.70 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $28.70 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $29.00 | ↓ -78% |
| Cigna | Medicare | $29.40 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $30.24 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $30.24 | ↓ -78% |
| Aetna | Medicare | $30.50 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.00 | ↓ -70% |
| United Healthcare | Commercial | $70.00 | ↓ -48% |
| UPMC Health Plan | Commercial | $70.00 | ↓ -48% |
| Geisinger | Commercial | $75.00 | ↓ -44% |
| Aetna | CHIP/Medicaid | $78.58 | ↓ -42% |
| Multiplan | Worker's Compensation | $80.00 | ↓ -40% |
| InterGroup | PPO | $80.00 | ↓ -40% |
| Multiplan | PPO/Auto | $80.00 | ↓ -40% |
| Humana | Commercial | $80.00 | ↓ -40% |
| Galaxy Health Plan | Commercial | $80.00 | ↓ -40% |
| Aetna | Commercial | $82.00 | ↓ -39% |
| Geisinger | Medicaid | $104.02 | ↓ -23% |
| BCBS of Western NY | Medicare Advantage | $111.29 | ↓ -17% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $112.86 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $127.54 | ↓ -5% |
| Highmark BCBS of PA | Managed Care - Social Mission | $132.31 | ↓ -2% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $132.31 | ↓ -2% |
| UPMC Work Partners | Workers Comp | $141.99 | ↑ +6% |
| Highmark BCBS of PA | Managed Care | $161.11 | ↑ +20% |
| Highmark BCBS of PA | Commercial - Indemnity | $161.11 | ↑ +20% |
| UPMC Health Plan | CHIP | $276.75 | ↑ +106% |
Visitor-reported prices
Comments
Basic vestibular evaluation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $457.80 | $28.64 – $205.40 |
| UPMC Magee | Pittsburgh | $169.20 | $28.92 – $161.10 |
| UPMC Mercy | Pittsburgh | $462.60 | $28.64 – $164.09 |
| UPMC Presbyterian | Pittsburgh | $638.40 | $15.38 – $180.92 |