Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$133.20
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.
$222.00
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.
$50.42 with Aetna vs $4,989.94 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $50.42 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $61.54 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $62.16 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $62.16 | ↓ -53% |
| Humana | Medicare | $62.78 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $63.71 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $63.71 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $64.38 | ↓ -52% |
| Cigna | Medicare | $65.27 | ↓ -51% |
| Geisinger | Medicaid | $66.74 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $67.13 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $67.13 | ↓ -50% |
| Aetna | Medicare | $67.71 | ↓ -49% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $72.41 | ↓ -46% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $81.84 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicaid | $88.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $155.40 | ↑ +17% |
| Geisinger | Commercial | $166.50 | ↑ +25% |
| InterGroup | PPO | $177.60 | ↑ +33% |
| Humana | Commercial | $177.60 | ↑ +33% |
| Galaxy Health Plan | Commercial | $177.60 | ↑ +33% |
| Multiplan | Worker's Compensation | $177.60 | ↑ +33% |
| Multiplan | PPO/Auto | $177.60 | ↑ +33% |
| Aetna | Commercial | $182.04 | ↑ +37% |
| UPMC Work Partners | Workers Comp | $257.11 | ↑ +93% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↑ +479% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $997.68 | ↑ +649% |
| Highmark BCBS of PA | Managed Care - Social Mission | $997.68 | ↑ +649% |
| Highmark BCBS of PA | Managed Care | $1,214.88 | ↑ +812% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,214.88 | ↑ +812% |
| UPMC Health Plan | CHIP | $4,989.94 | ↑ +3646% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,224.80 | $60.99 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $2,224.80 | $62.91 – $4,989.94 |
| UPMC East | Monroeville | $3,205.20 | $52.82 – $4,273.60 |
| UPMC Northwest | Seneca | $4,393.20 | $52.82 – $1,611.51 |
| UPMC Hanover | Hanover | $2,224.80 | $60.99 – $269.06 |
| UPMC Horizon-Greenville | Greenville | $2,267.40 | $50.42 – $1,207.96 |
| UPMC Jameson | New Castle | $2,267.40 | $50.87 – $631.87 |
| UPMC Kane | Kane | $236.40 | $52.82 – $1,000.23 |