Doppler upper/lower extremity arteries limited bilateral at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$276.00
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.
$460.00
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.
$51.23 with Aetna vs $356.12 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 | $51.23 | ↓ -81% |
| Geisinger | Medicaid | $67.81 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $73.58 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $83.15 | ↓ -70% |
| BCBS of Western NY | Medicare Advantage | $86.61 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $105.89 | ↓ -62% |
| United Healthcare | Medicare | $106.96 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $106.96 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $106.96 | ↓ -61% |
| Humana | Medicare | $108.03 | ↓ -61% |
| AmeriHealth Caritas | Medicaid | $109.63 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $109.63 | ↓ -60% |
| UPMC Health Plan | Managed Medicaid | $110.78 | ↓ -60% |
| Cigna | Medicare | $112.31 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $115.52 | ↓ -58% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $115.52 | ↓ -58% |
| Aetna | Medicare | $116.51 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $152.80 | ↓ -45% |
| UPMC Health Plan | CHIP | $224.56 | ↓ -19% |
| UPMC Health Plan | Commercial | $267.40 | ↓ -3% |
| United Healthcare | Commercial | $267.40 | ↓ -3% |
| Geisinger | Commercial | $286.50 | ↑ +4% |
| UPMC Work Partners | Workers Comp | $292.12 | ↑ +6% |
| Highmark BCBS of PA | Managed Care - Social Mission | $292.46 | ↑ +6% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $292.46 | ↑ +6% |
| InterGroup | PPO | $305.60 | ↑ +11% |
| Humana | Commercial | $305.60 | ↑ +11% |
| Galaxy Health Plan | Commercial | $305.60 | ↑ +11% |
| Multiplan | Worker's Compensation | $305.60 | ↑ +11% |
| Multiplan | PPO/Auto | $305.60 | ↑ +11% |
| Aetna | Commercial | $313.24 | ↑ +13% |
| Highmark BCBS of PA | Commercial - Indemnity | $356.12 | ↑ +29% |
| Highmark BCBS of PA | Managed Care | $356.12 | ↑ +29% |
Visitor-reported prices
Comments
Doppler upper/lower extremity arteries limited bilateral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $325.80 | $37.11 – $434.40 |
| UPMC Bedford | Everett | $327.00 | $44.34 – $490.50 |
| UPMC Carlisle | Carlisle | $547.20 | $47.13 – $801.00 |
| UPMC Community Osteopathic | Harrisburg | $547.20 | $47.13 – $464.95 |
| UPMC East | Monroeville | $391.80 | $53.67 – $522.40 |
| UPMC Hamot | Erie | $201.60 | $53.67 – $333.51 |
| UPMC Northwest | Seneca | $339.60 | $53.67 – $341.27 |
| UPMC Hanover | Hanover | $547.20 | $47.13 – $801.00 |