Clsd tx iphal jnt disl w/manip req anes at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,941.60
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.
?
What you pay up front if you don't use insurance.
$3,236.00
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.
$275.26 with Highmark BCBS of PA vs $2,636.42 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 | $275.26 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $278.04 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $278.04 | ↓ -86% |
| Humana | Medicare | $280.82 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $284.99 | ↓ -85% |
| AmeriHealth Caritas | Medicaid | $284.99 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $287.97 | ↓ -85% |
| Cigna | Medicare | $291.94 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $300.28 | ↓ -85% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $300.28 | ↓ -85% |
| Aetna | Medicare | $302.87 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $397.20 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $437.41 | ↓ -77% |
| Geisinger | Medicaid | $546.15 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $546.15 | ↓ -72% |
| UPMC Health Plan | Commercial | $695.10 | ↓ -64% |
| Geisinger | Commercial | $744.75 | ↓ -62% |
| InterGroup | PPO | $794.40 | ↓ -59% |
| Humana | Commercial | $794.40 | ↓ -59% |
| Galaxy Health Plan | Commercial | $794.40 | ↓ -59% |
| Multiplan | Worker's Compensation | $794.40 | ↓ -59% |
| Multiplan | PPO/Auto | $794.40 | ↓ -59% |
| Aetna | Commercial | $814.26 | ↓ -58% |
| United Healthcare | Medicare | $906.08 | ↓ -53% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,782.63 | ↓ -8% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,782.63 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $2,170.77 | ↑ +12% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,170.77 | ↑ +12% |
| UPMC Health Plan | CHIP | $2,636.42 | ↑ +36% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx iphal jnt disl w/manip req anes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,187.60 | $258.21 – $6,916.80 |
| UPMC East | Monroeville | $4,387.20 | $253.88 – $5,849.60 |
| UPMC Hamot | Erie | $5,296.20 | $292.22 – $836.96 |
| UPMC Northwest | Seneca | $4,633.20 | $229.63 – $362.17 |
| UPMC Horizon-Greenville | Greenville | $4,038.00 | $226.69 – $475.13 |
| UPMC Jameson | New Castle | $3,680.40 | $253.20 – $892.40 |
| UPMC Magee | Pittsburgh | $3,759.00 | $236.97 – $844.93 |
| UPMC McKeesport | Mckeesport | $3,703.20 | $234.69 – $844.93 |