healthcosts.net
Cholesterol (Lipid) Test at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$97.80
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.
$163.00
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.
$8.70 with BCBS of Western NY vs $130.40 with InterGroup — 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 |
|---|---|---|---|
| BCBS of Western NY | Medicare Advantage | $8.70 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $13.24 | ↓ -86% |
| Aetna | CHIP/Medicaid | $14.70 | ↓ -85% |
| Geisinger | Medicaid | $19.46 | ↓ -80% |
| Aetna | Commercial | $20.09 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $21.11 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $23.86 | ↓ -76% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $45.18 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $45.64 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $45.64 | ↓ -53% |
| United Healthcare | Medicare | $45.64 | ↓ -53% |
| Humana | Medicare | $46.10 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $46.78 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $46.78 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $47.27 | ↓ -52% |
| Cigna | Medicare | $47.92 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $49.29 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $49.29 | ↓ -50% |
| Aetna | Medicare | $49.72 | ↓ -49% |
| United Healthcare | Commercial | $53.00 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $62.06 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $62.06 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicaid | $65.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $70.39 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Indemnity | $75.57 | ↓ -23% |
| Highmark BCBS of PA | Managed Care | $75.57 | ↓ -23% |
| UPMC Health Plan | Commercial | $114.10 | ↑ +17% |
| Geisinger | Commercial | $122.25 | ↑ +25% |
| Galaxy Health Plan | Commercial | $130.40 | ↑ +33% |
| Humana | Commercial | $130.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $130.40 | ↑ +33% |
| Multiplan | PPO/Auto | $130.40 | ↑ +33% |
| InterGroup | PPO | $130.40 | ↑ +33% |
Visitor-reported prices
Comments
Cholesterol (Lipid) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $302.40 | $12.44 – $428.40 |
| UPMC Altoona | Altoona | $143.40 | $13.24 – $191.20 |
| UPMC Bedford | Everett | $66.60 | $4.83 – $99.90 |
| UPMC East | Monroeville | $212.40 | $13.24 – $283.20 |
| UPMC Hamot | Erie | $413.40 | $13.24 – $482.30 |
| UPMC Hanover | Hanover | $87.60 | $13.26 – $127.02 |
| UPMC Horizon-Greenville | Greenville | $86.40 | $11.99 – $122.40 |
| UPMC Jameson | New Castle | $75.60 | $13.24 – $110.88 |