Chemodenervation/face muscl/unilat 64612 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$171.60
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.
$286.00
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.
$36.04 with Highmark BCBS of PA vs $1,041.88 with BCBS of Western NY — 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 | $36.04 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $36.40 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $36.40 | ↓ -79% |
| United Healthcare | Medicare | $36.40 | ↓ -79% |
| Humana | Medicare | $36.76 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $37.31 | ↓ -78% |
| AmeriHealth Caritas | Medicaid | $37.31 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $37.70 | ↓ -78% |
| Cigna | Medicare | $38.22 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $39.31 | ↓ -77% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $39.31 | ↓ -77% |
| Aetna | Medicare | $39.65 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $52.00 | ↓ -70% |
| Geisinger | Medicaid | $71.50 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $71.50 | ↓ -58% |
| UPMC Health Plan | Commercial | $91.00 | ↓ -47% |
| Geisinger | Commercial | $97.50 | ↓ -43% |
| InterGroup | PPO | $104.00 | ↓ -39% |
| Humana | Commercial | $104.00 | ↓ -39% |
| Galaxy Health Plan | Commercial | $104.00 | ↓ -39% |
| Multiplan | Worker's Compensation | $104.00 | ↓ -39% |
| Multiplan | PPO/Auto | $104.00 | ↓ -39% |
| Aetna | Commercial | $106.60 | ↓ -38% |
| UPMC Work Partners | Workers Comp | $318.62 | ↑ +86% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $600.41 | ↑ +250% |
| Highmark BCBS of PA | Managed Care - Social Mission | $600.41 | ↑ +250% |
| Highmark BCBS of PA | Managed Care | $731.14 | ↑ +326% |
| Highmark BCBS of PA | Commercial - Indemnity | $731.14 | ↑ +326% |
| UPMC Health Plan | CHIP | $774.03 | ↑ +351% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +507% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Chemodenervation/face muscl/unilat 64612 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $1,466.40 | $251.96 – $528.10 |
| UPMC Jameson | New Castle | $1,466.40 | $281.43 – $892.40 |
| UPMC Magee | Pittsburgh | $1,690.20 | $263.39 – $341.66 |
| UPMC Presbyterian | Pittsburgh | $2,561.40 | $294.48 – $931.20 |
| UPMC St. Margaret | Pittsburgh | $1,441.80 | $307.82 – $347.39 |
| UPMC Williamsport | Williamsport | $1,877.40 | $284.19 – $993.28 |
| Uniontown Hospital | Uniontown | $353.00 | $80.85 – $617.93 |