Emg 3 ext w-w/o paraspinal area 95863 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$192.00
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.
$320.00
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.
$39.09 with Highmark BCBS of PA vs $564.76 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $39.09 | ↓ -80% |
| United Healthcare | Medicare | $39.48 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $39.48 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $39.48 | ↓ -79% |
| Humana | Medicare | $39.87 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $40.47 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $40.47 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $40.89 | ↓ -79% |
| Cigna | Medicare | $41.45 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $42.64 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $42.64 | ↓ -78% |
| Aetna | Medicare | $43.01 | ↓ -78% |
| Aetna | CHIP/Medicaid | $44.62 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $56.40 | ↓ -71% |
| Geisinger | Medicaid | $59.07 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $64.09 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $72.43 | ↓ -62% |
| United Healthcare | Commercial | $98.70 | ↓ -49% |
| UPMC Health Plan | Commercial | $98.70 | ↓ -49% |
| Geisinger | Commercial | $105.75 | ↓ -45% |
| Multiplan | PPO/Auto | $112.80 | ↓ -41% |
| Multiplan | Worker's Compensation | $112.80 | ↓ -41% |
| Galaxy Health Plan | Commercial | $112.80 | ↓ -41% |
| Humana | Commercial | $112.80 | ↓ -41% |
| InterGroup | PPO | $112.80 | ↓ -41% |
| Aetna | Commercial | $115.62 | ↓ -40% |
| BCBS of Western NY | Medicare Advantage | $217.94 | ↑ +14% |
| UPMC Work Partners | Workers Comp | $365.45 | ↑ +90% |
| UPMC Health Plan | CHIP | $369.60 | ↑ +93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $463.80 | ↑ +142% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $463.80 | ↑ +142% |
| Highmark BCBS of PA | Managed Care | $564.76 | ↑ +194% |
| Highmark BCBS of PA | Commercial - Indemnity | $564.76 | ↑ +194% |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $270.60 | $32.75 – $383.35 |
| UPMC Community Osteopathic | Harrisburg | $270.60 | $32.75 – $387.40 |
| UPMC Hanover | Hanover | $270.60 | $32.75 – $387.40 |
| UPMC Lititz | Lititz | $270.60 | $32.75 – $382.45 |
| UPMC Magee | Pittsburgh | $357.00 | $46.75 – $392.67 |
| UPMC Memorial | York | $270.60 | $32.75 – $387.40 |
| UPMC Mercy | Pittsburgh | $447.00 | $46.75 – $398.08 |
| UPMC Presbyterian | Pittsburgh | $1,000.20 | $30.00 – $462.88 |