healthcosts.net
ER Visit (level 2) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$210.00
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.
?
What you pay up front if you don't use insurance.
$350.00
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.
$30.27 with AmeriHealth Caritas vs $334.00 with Aetna — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC) | $30.27 | ↓ -86% |
| AmeriHealth Caritas | Medicaid | $30.27 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $32.43 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $32.76 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $32.76 | ↓ -84% |
| Humana | Medicare | $33.09 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $33.93 | ↓ -84% |
| Cigna | Medicare | $34.40 | ↓ -84% |
| Aetna | CHIP/Medicaid | $34.63 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $35.38 | ↓ -83% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $35.38 | ↓ -83% |
| Aetna | Medicare | $35.69 | ↓ -83% |
| Geisinger | Medicaid | $45.84 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.80 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $49.73 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $56.20 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $74.43 | ↓ -65% |
| UPMC Health Plan | Commercial | $81.90 | ↓ -61% |
| Geisinger | Commercial | $87.75 | ↓ -58% |
| Galaxy Health Plan | Commercial | $93.60 | ↓ -55% |
| Humana | Commercial | $93.60 | ↓ -55% |
| Multiplan | Worker's Compensation | $93.60 | ↓ -55% |
| Multiplan | PPO/Auto | $93.60 | ↓ -55% |
| InterGroup | PPO | $93.60 | ↓ -55% |
| United Healthcare | Medicare | $98.00 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $172.82 | ↓ -18% |
| Highmark BCBS of PA | Managed Care - Social Mission | $172.82 | ↓ -18% |
| BCBS of Western NY | CC/CHP/FHP/CHIP | $203.78 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Indemnity | $210.44 | ↑ +0% |
| Highmark BCBS of PA | Managed Care | $210.44 | ↑ +0% |
| UPMC Health Plan | CHIP | $264.38 | ↑ +26% |
| BCBS of Western NY | Medicare Advantage | $279.91 | ↑ +33% |
| BCBS of Western NY | Commercial/Medicaid | $279.91 | ↑ +33% |
| Aetna | Commercial | $334.00 | ↑ +59% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 2) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $424.20 | $36.28 – $600.95 |
| UPMC East | Monroeville | $652.80 | $36.28 – $870.40 |
| UPMC Hamot | Erie | $640.20 | $36.28 – $746.90 |
| UPMC Carlisle | Carlisle | $570.60 | $34.91 – $808.35 |
| UPMC Altoona | Altoona | $496.20 | $35.00 – $661.60 |
| UPMC Bedford | Everett | $325.20 | $34.63 – $487.80 |
| UPMC Community Osteopathic | Harrisburg | $570.60 | $34.91 – $808.35 |
| UPMC Hanover | Hanover | $570.60 | $36.28 – $827.37 |