Endoscpy nsl/sns w/cntrl nsl hmrrgh at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$382.20
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.
$637.00
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.
$54.89 with Highmark BCBS of PA vs $1,712.54 with UPMC Health Plan — 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 | $54.89 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $55.44 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $55.44 | ↓ -85% |
| United Healthcare | Medicare | $55.44 | ↓ -85% |
| Humana | Medicare | $55.99 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $56.83 | ↓ -85% |
| AmeriHealth Caritas | Medicaid | $56.83 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $57.42 | ↓ -85% |
| Cigna | Medicare | $58.21 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $59.88 | ↓ -84% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $59.88 | ↓ -84% |
| Aetna | Medicare | $60.39 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $79.20 | ↓ -79% |
| Geisinger | Medicaid | $108.90 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $108.90 | ↓ -72% |
| UPMC Health Plan | Commercial | $138.60 | ↓ -64% |
| Geisinger | Commercial | $148.50 | ↓ -61% |
| InterGroup | PPO | $158.40 | ↓ -59% |
| Humana | Commercial | $158.40 | ↓ -59% |
| Galaxy Health Plan | Commercial | $158.40 | ↓ -59% |
| Multiplan | Worker's Compensation | $158.40 | ↓ -59% |
| Multiplan | PPO/Auto | $158.40 | ↓ -59% |
| Aetna | Commercial | $162.36 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $453.07 | ↑ +19% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↑ +102% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,107.53 | ↑ +190% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,107.53 | ↑ +190% |
| Highmark BCBS of PA | Managed Care | $1,348.68 | ↑ +253% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,348.68 | ↑ +253% |
| UPMC Health Plan | CHIP | $1,712.54 | ↑ +348% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Endoscpy nsl/sns w/cntrl nsl hmrrgh at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,558.00 | $453.07 – $4,744.00 |
| UPMC East | Monroeville | $2,790.00 | $494.88 – $3,720.00 |
| UPMC Hamot | Erie | $3,191.40 | $494.88 – $2,391.19 |
| UPMC Hanover | Hanover | $1,626.00 | $504.70 – $2,635.82 |
| UPMC Horizon-Greenville | Greenville | $2,419.20 | $482.27 – $1,775.61 |
| UPMC Magee | Pittsburgh | $3,238.80 | $494.88 – $1,808.49 |
| UPMC Mercy | Pittsburgh | $2,377.20 | $444.00 – $1,808.49 |
| UPMC Muncy | Muncy | $2,287.20 | $494.88 – $993.28 |