Controller infinity pt dbs at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$22,140.00
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.
$36,900.00
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.
$496.47 with Highmark BCBS of PA vs $7,011.00 with Health Partners Plans (Jefferson 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 | $496.47 | ↓ -98% |
| United Healthcare | Medicare | $501.48 | ↓ -98% |
| UPMC Health Plan | Managed Medicare | $501.48 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $501.48 | ↓ -98% |
| Humana | Medicare | $506.49 | ↓ -98% |
| AmeriHealth Caritas | Medicaid | $514.02 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $514.02 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $519.39 | ↓ -98% |
| Cigna | Medicare | $526.55 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $541.60 | ↓ -98% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $541.60 | ↓ -98% |
| Aetna | Medicare | $546.25 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $716.40 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $985.05 | ↓ -96% |
| United Healthcare | Commercial | $985.05 | ↓ -96% |
| Geisinger | Medicaid | $985.05 | ↓ -96% |
| UPMC Health Plan | Commercial | $1,253.70 | ↓ -94% |
| Geisinger | Commercial | $1,343.25 | ↓ -94% |
| InterGroup | PPO | $1,432.80 | ↓ -94% |
| Galaxy Health Plan | Commercial | $1,432.80 | ↓ -94% |
| Humana | Commercial | $1,432.80 | ↓ -94% |
| Multiplan | Worker's Compensation | $1,432.80 | ↓ -94% |
| Multiplan | PPO/Auto | $1,432.80 | ↓ -94% |
| Aetna | Commercial | $1,468.62 | ↓ -93% |
| UPMC Health Plan | CHIP | $4,897.26 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $7,011.00 | ↓ -68% |
| BCBS of Western NY | Medicare Advantage | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Controller infinity pt dbs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,347.00 | $240.54 – $4,897.26 |
| UPMC Bedford | Everett | $4,558.20 | $543.78 – $4,897.26 |
| UPMC East | Monroeville | $3,442.80 | $257.07 – $4,897.26 |
| UPMC Hamot | Erie | $4,699.80 | $880.94 – $880.94 |
| UPMC Northwest | Seneca | $3,636.00 | $2,286.38 – $5,926.12 |
| UPMC Horizon-Greenville | Greenville | $4,558.20 | $2,245.15 – $4,897.26 |
| UPMC Jameson | New Castle | $697.20 | $59.40 – $4,897.26 |
| UPMC Magee | Pittsburgh | $5,581.20 | $65.34 – $4,897.26 |