Cutter lead at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$621.00
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.
$1,035.00
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.
$196.65 with Health Partners Plans (Jefferson Health Plan) vs $1,087.91 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $196.65 | ↓ -68% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $286.90 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $289.80 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $289.80 | ↓ -53% |
| United Healthcare | Medicare | $289.80 | ↓ -53% |
| Humana | Medicare | $292.70 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $297.05 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $297.05 | ↓ -52% |
| Cigna | Medicare | $304.29 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $312.98 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $312.98 | ↓ -50% |
| Aetna | Medicare | $315.68 | ↓ -49% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $341.55 | ↓ -45% |
| Geisinger | Medicaid | $341.55 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $372.60 | ↓ -40% |
| United Healthcare | Commercial | $569.25 | ↓ -8% |
| UPMC Health Plan | Managed Medicaid | $641.70 | ↑ +3% |
| UPMC Health Plan | Commercial | $724.50 | ↑ +17% |
| Geisinger | Commercial | $776.25 | ↑ +25% |
| Galaxy Health Plan | Commercial | $828.00 | ↑ +33% |
| InterGroup | PPO | $828.00 | ↑ +33% |
| Humana | Commercial | $828.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $828.00 | ↑ +33% |
| Multiplan | PPO/Auto | $828.00 | ↑ +33% |
| Aetna | Commercial | $848.70 | ↑ +37% |
| UPMC Health Plan | CHIP | $1,087.91 | ↑ +75% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| BCBS of Western NY | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
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Cutter lead at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,585.80 | $88.00 – $1,087.91 |
| UPMC Community Osteopathic | Harrisburg | $1,505.40 | $250.60 – $1,585.06 |
| UPMC East | Monroeville | $2,460.60 | $186.50 – $1,087.91 |
| UPMC Hamot | Erie | $2,259.00 | $301.13 – $301.13 |
| UPMC Northwest | Seneca | $1,829.40 | $781.54 – $1,316.47 |
| UPMC Horizon-Greenville | Greenville | $814.20 | $767.44 – $1,087.91 |
| UPMC Jameson | New Castle | $1,444.80 | $70.00 – $1,087.91 |
| UPMC Magee | Pittsburgh | $2,784.60 | $77.00 – $1,087.91 |