Epidural/lumbar/sacral/ea add level64484 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$193.20
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.
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What you pay up front if you don't use insurance.
$322.00
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.
$28.55 with Highmark BCBS of PA vs $771.51 with BCBS of Western NY — 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 | $28.55 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $28.84 | ↓ -85% |
| United Healthcare | Medicare | $28.84 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $28.84 | ↓ -85% |
| Humana | Medicare | $29.13 | ↓ -85% |
| AmeriHealth Caritas | Medicaid | $29.56 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $29.56 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $29.87 | ↓ -85% |
| Cigna | Medicare | $30.28 | ↓ -84% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $31.15 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $31.15 | ↓ -84% |
| Aetna | Medicare | $31.41 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $41.20 | ↓ -79% |
| Aetna | CHIP/Medicaid | $62.58 | ↓ -68% |
| UPMC Health Plan | Commercial | $72.10 | ↓ -63% |
| Geisinger | Commercial | $77.25 | ↓ -60% |
| InterGroup | PPO | $82.40 | ↓ -57% |
| Humana | Commercial | $82.40 | ↓ -57% |
| Galaxy Health Plan | Commercial | $82.40 | ↓ -57% |
| Multiplan | Worker's Compensation | $82.40 | ↓ -57% |
| Multiplan | PPO/Auto | $82.40 | ↓ -57% |
| Geisinger | Medicaid | $82.84 | ↓ -57% |
| Aetna | Commercial | $84.46 | ↓ -56% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $89.88 | ↓ -53% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $101.57 | ↓ -47% |
| UPMC Health Plan | CHIP | $372.01 | ↑ +93% |
| UPMC Work Partners | Workers Comp | $379.88 | ↑ +97% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $463.99 | ↑ +140% |
| Highmark BCBS of PA | Managed Care - Social Mission | $463.99 | ↑ +140% |
| Highmark BCBS of PA | Managed Care | $565.00 | ↑ +192% |
| Highmark BCBS of PA | Commercial - Indemnity | $565.00 | ↑ +192% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↑ +299% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Epidural/lumbar/sacral/ea add level64484 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,398.80 | $75.69 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $2,398.80 | $78.08 – $3,398.30 |
| UPMC Northwest | Seneca | $1,897.80 | $65.56 – $1,521.39 |
| UPMC Hanover | Hanover | $2,398.80 | $75.69 – $397.55 |
| UPMC Horizon-Greenville | Greenville | $1,861.80 | $62.58 – $1,140.40 |
| UPMC Kane | Kane | $84.60 | $65.56 – $465.18 |
| UPMC Lititz | Lititz | $2,398.80 | $44.37 – $397.55 |
| UPMC Magee | Pittsburgh | $3,192.60 | $48.81 – $591.77 |