Emg thor paraspinal without t1/t2 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$54.00
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.
$90.00
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.
$10.53 with Highmark BCBS of PA vs $388.37 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 | $10.53 | ↓ -81% |
| United Healthcare | Medicare | $10.64 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $10.64 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $10.64 | ↓ -80% |
| Humana | Medicare | $10.75 | ↓ -80% |
| AmeriHealth Caritas | Medicaid | $10.91 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $10.91 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $11.02 | ↓ -80% |
| Cigna | Medicare | $11.17 | ↓ -79% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $11.49 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $11.49 | ↓ -79% |
| Aetna | Medicare | $11.59 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $15.20 | ↓ -72% |
| Aetna | CHIP/Medicaid | $22.88 | ↓ -58% |
| UPMC Health Plan | Commercial | $26.60 | ↓ -51% |
| United Healthcare | Commercial | $26.60 | ↓ -51% |
| Geisinger | Commercial | $28.50 | ↓ -47% |
| Geisinger | Medicaid | $30.29 | ↓ -44% |
| Humana | Commercial | $30.40 | ↓ -44% |
| InterGroup | PPO | $30.40 | ↓ -44% |
| Multiplan | PPO/Auto | $30.40 | ↓ -44% |
| Multiplan | Worker's Compensation | $30.40 | ↓ -44% |
| Galaxy Health Plan | Commercial | $30.40 | ↓ -44% |
| Aetna | Commercial | $31.16 | ↓ -42% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $32.86 | ↓ -39% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $37.13 | ↓ -31% |
| BCBS of Western NY | Medicare Advantage | $95.62 | ↑ +77% |
| UPMC Health Plan | CHIP | $117.66 | ↑ +118% |
| UPMC Work Partners | Workers Comp | $168.30 | ↑ +212% |
| Highmark BCBS of PA | Managed Care - Social Mission | $318.94 | ↑ +491% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $318.94 | ↑ +491% |
| Highmark BCBS of PA | Managed Care | $388.37 | ↑ +619% |
| Highmark BCBS of PA | Commercial - Indemnity | $388.37 | ↑ +619% |
Visitor-reported prices
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Emg thor paraspinal without t1/t2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $543.60 | $10.20 – $770.10 |
| UPMC Community Osteopathic | Harrisburg | $543.60 | $10.20 – $770.10 |
| UPMC Northwest | Seneca | $152.40 | $23.97 – $311.72 |
| UPMC Hanover | Hanover | $543.60 | $10.20 – $475.97 |
| UPMC Lititz | Lititz | $543.60 | $10.20 – $478.54 |
| UPMC Magee | Pittsburgh | $122.40 | $23.97 – $320.63 |
| UPMC Memorial | York | $543.60 | $10.20 – $477.76 |
| UPMC Mercy | Pittsburgh | $152.40 | $23.97 – $326.57 |