Clos txnose fx without stablz 21315 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$267.00
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.
$445.00
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.
$38.25 with Highmark BCBS of PA vs $2,315.15 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 | $38.25 | ↓ -86% |
| United Healthcare | Medicare | $38.64 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $38.64 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $38.64 | ↓ -86% |
| Humana | Medicare | $39.03 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $39.61 | ↓ -85% |
| AmeriHealth Caritas | Medicaid | $39.61 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $40.02 | ↓ -85% |
| Cigna | Medicare | $40.57 | ↓ -85% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $41.73 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $41.73 | ↓ -84% |
| Aetna | Medicare | $42.09 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $55.20 | ↓ -79% |
| UPMC Health Plan | Commercial | $96.60 | ↓ -64% |
| Geisinger | Commercial | $103.50 | ↓ -61% |
| InterGroup | PPO | $110.40 | ↓ -59% |
| Humana | Commercial | $110.40 | ↓ -59% |
| Galaxy Health Plan | Commercial | $110.40 | ↓ -59% |
| Multiplan | Worker's Compensation | $110.40 | ↓ -59% |
| Multiplan | PPO/Auto | $110.40 | ↓ -59% |
| Aetna | Commercial | $113.16 | ↓ -58% |
| Aetna | CHIP/Medicaid | $125.47 | ↓ -53% |
| Geisinger | Medicaid | $166.09 | ↓ -38% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $180.21 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $203.65 | ↓ -24% |
| UPMC Work Partners | Workers Comp | $419.10 | ↑ +57% |
| Highmark BCBS of PA | Managed Care - Social Mission | $663.75 | ↑ +149% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $663.75 | ↑ +149% |
| Highmark BCBS of PA | Managed Care | $808.27 | ↑ +203% |
| Highmark BCBS of PA | Commercial - Indemnity | $808.27 | ↑ +203% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +290% |
| UPMC Health Plan | CHIP | $2,315.15 | ↑ +767% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clos txnose fx without stablz 21315 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,494.00 | $119.50 – $5,992.00 |
| UPMC Hamot | Erie | $3,123.00 | $131.45 – $2,053.97 |
| UPMC Northwest | Seneca | $4,779.60 | $131.45 – $1,482.83 |
| UPMC Hanover | Hanover | $2,458.20 | $151.76 – $2,264.11 |
| UPMC Jameson | New Castle | $2,635.80 | $131.45 – $1,906.50 |
| UPMC Magee | Pittsburgh | $4,191.60 | $131.45 – $1,525.20 |
| UPMC Mercy | Pittsburgh | $3,417.00 | $131.45 – $1,553.44 |
| UPMC Muncy | Muncy | $825.60 | $131.45 – $751.36 |