Colonoscopy submucous njx at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$687.00
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.
$1,145.00
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.
$223.87 with Aetna vs $2,369.02 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $223.87 | ↓ -67% |
| UPMC Health Plan | CHIP | $249.09 | ↓ -64% |
| Geisinger | Medicaid | $296.34 | ↓ -57% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $317.39 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $320.60 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $320.60 | ↓ -53% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $321.52 | ↓ -53% |
| Humana | Medicare | $323.81 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $328.62 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $328.62 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $332.05 | ↓ -52% |
| Cigna | Medicare | $336.63 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $346.25 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $346.25 | ↓ -50% |
| Aetna | Medicare | $349.23 | ↓ -49% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $363.35 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicaid | $458.00 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $715.89 | ↑ +4% |
| UPMC Health Plan | Commercial | $801.50 | ↑ +17% |
| Geisinger | Commercial | $858.75 | ↑ +25% |
| InterGroup | PPO | $916.00 | ↑ +33% |
| Humana | Commercial | $916.00 | ↑ +33% |
| Galaxy Health Plan | Commercial | $916.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $916.00 | ↑ +33% |
| Multiplan | PPO/Auto | $916.00 | ↑ +33% |
| Aetna | Commercial | $938.90 | ↑ +37% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +52% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,945.44 | ↑ +183% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,945.44 | ↑ +183% |
| Highmark BCBS of PA | Managed Care | $2,369.02 | ↑ +245% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,369.02 | ↑ +245% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Colonoscopy submucous njx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,764.60 | $213.21 – $2,352.80 |
| UPMC Bedford | Everett | $5,152.80 | $137.39 – $7,729.20 |
| UPMC East | Monroeville | $3,903.60 | $234.53 – $5,204.80 |
| UPMC Hamot | Erie | $1,927.80 | $234.53 – $1,634.95 |
| UPMC Northwest | Seneca | $4,867.20 | $117.67 – $1,180.32 |
| UPMC Horizon-Greenville | Greenville | $3,696.60 | $135.12 – $1,527.37 |
| UPMC Jameson | New Castle | $3,696.60 | $234.53 – $1,517.55 |
| UPMC Kane | Kane | $1,506.60 | $183.42 – $1,849.45 |