Chemodenerv trunk musc 6/] 64647 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$168.00
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.
$280.00
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.
$34.10 with Highmark BCBS of PA vs $977.88 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 | $34.10 | ↓ -80% |
| United Healthcare | Medicare | $34.44 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $34.44 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $34.44 | ↓ -80% |
| Humana | Medicare | $34.78 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $35.30 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $35.30 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $35.67 | ↓ -79% |
| Cigna | Medicare | $36.16 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $37.20 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $37.20 | ↓ -78% |
| Aetna | Medicare | $37.52 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $49.20 | ↓ -71% |
| UPMC Health Plan | Commercial | $86.10 | ↓ -49% |
| Geisinger | Commercial | $92.25 | ↓ -45% |
| BCBS of Western NY | Medicare Advantage | $98.03 | ↓ -42% |
| InterGroup | PPO | $98.40 | ↓ -41% |
| Humana | Commercial | $98.40 | ↓ -41% |
| Multiplan | PPO/Auto | $98.40 | ↓ -41% |
| Multiplan | Worker's Compensation | $98.40 | ↓ -41% |
| Galaxy Health Plan | Commercial | $98.40 | ↓ -41% |
| Aetna | Commercial | $100.86 | ↓ -40% |
| Aetna | CHIP/Medicaid | $112.41 | ↓ -33% |
| Geisinger | Medicaid | $148.80 | ↓ -11% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $161.45 | ↓ -4% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $182.45 | ↑ +9% |
| UPMC Work Partners | Workers Comp | $238.99 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $803.04 | ↑ +378% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $803.04 | ↑ +378% |
| Highmark BCBS of PA | Managed Care | $977.88 | ↑ +482% |
| Highmark BCBS of PA | Commercial - Indemnity | $977.88 | ↑ +482% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Chemodenerv trunk musc 6/] 64647 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $546.60 | $117.77 – $713.05 |
| UPMC Jameson | New Castle | $546.60 | $117.77 – $892.40 |
| UPMC Magee | Pittsburgh | $1,080.60 | $117.77 – $713.05 |
| UPMC Presbyterian | Pittsburgh | $2,727.00 | $117.77 – $931.20 |
| UPMC Williamsport | Williamsport | $772.20 | $117.77 – $993.28 |