Emg 2 ext w-w/o paraspinal area 95861 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$160.20
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.
?
What you pay up front if you don't use insurance.
$267.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$33.54 with Highmark BCBS of PA vs $410.41 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $33.54 | ↓ -79% |
| United Healthcare | Medicare | $33.88 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $33.88 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $33.88 | ↓ -79% |
| Humana | Medicare | $34.22 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $34.73 | ↓ -78% |
| AmeriHealth Caritas | Medicaid | $34.73 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $35.09 | ↓ -78% |
| Cigna | Medicare | $35.57 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $36.59 | ↓ -77% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $36.59 | ↓ -77% |
| Aetna | Medicare | $36.91 | ↓ -77% |
| Aetna | CHIP/Medicaid | $39.38 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $48.40 | ↓ -70% |
| Geisinger | Medicaid | $52.12 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $56.55 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $63.91 | ↓ -60% |
| United Healthcare | Commercial | $84.70 | ↓ -47% |
| UPMC Health Plan | Commercial | $84.70 | ↓ -47% |
| Geisinger | Commercial | $90.75 | ↓ -43% |
| InterGroup | PPO | $96.80 | ↓ -40% |
| Humana | Commercial | $96.80 | ↓ -40% |
| Galaxy Health Plan | Commercial | $96.80 | ↓ -40% |
| Multiplan | Worker's Compensation | $96.80 | ↓ -40% |
| Multiplan | PPO/Auto | $96.80 | ↓ -40% |
| Aetna | Commercial | $99.22 | ↓ -38% |
| BCBS of Western NY | Medicare Advantage | $170.93 | ↑ +7% |
| UPMC Work Partners | Workers Comp | $308.08 | ↑ +92% |
| UPMC Health Plan | CHIP | $327.88 | ↑ +105% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $337.04 | ↑ +110% |
| Highmark BCBS of PA | Managed Care - Social Mission | $337.04 | ↑ +110% |
| Highmark BCBS of PA | Commercial - Indemnity | $410.41 | ↑ +156% |
| Highmark BCBS of PA | Managed Care | $410.41 | ↑ +156% |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $462.60 | $22.50 – $616.80 |
| UPMC Carlisle | Carlisle | $247.80 | $29.48 – $351.05 |
| UPMC Community Osteopathic | Harrisburg | $247.80 | $29.48 – $351.05 |
| UPMC East | Monroeville | $615.00 | $41.25 – $820.00 |
| UPMC Hamot | Erie | $260.40 | $41.25 – $331.42 |
| UPMC Northwest | Seneca | $464.40 | $41.25 – $312.08 |
| UPMC Hanover | Hanover | $247.80 | $29.48 – $326.59 |
| UPMC Lititz | Lititz | $247.80 | $29.48 – $322.41 |