healthcosts.net
ER Visit (level 5, high severity) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$630.00
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.
$1,050.00
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.
$56.38 with AmeriHealth Caritas vs $909.00 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) | $56.38 | ↓ -91% |
| AmeriHealth Caritas | Medicaid | $56.38 | ↓ -91% |
| Aetna | CHIP/Medicaid | $145.68 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $153.01 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $154.56 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $154.56 | ↓ -75% |
| Humana | Medicare | $156.11 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $160.08 | ↓ -75% |
| Cigna | Medicare | $162.29 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $166.92 | ↓ -74% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $166.92 | ↓ -74% |
| Aetna | Medicare | $168.36 | ↓ -73% |
| Geisinger | Medicaid | $192.83 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $209.22 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $220.80 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $236.44 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $258.18 | ↓ -59% |
| United Healthcare | Medicare | $294.00 | ↓ -53% |
| UPMC Health Plan | Commercial | $386.40 | ↓ -39% |
| Geisinger | Commercial | $414.00 | ↓ -34% |
| Galaxy Health Plan | Commercial | $441.60 | ↓ -30% |
| Humana | Commercial | $441.60 | ↓ -30% |
| Multiplan | Worker's Compensation | $441.60 | ↓ -30% |
| Multiplan | PPO/Auto | $441.60 | ↓ -30% |
| InterGroup | PPO | $441.60 | ↓ -30% |
| UPMC Health Plan | CHIP | $547.01 | ↓ -13% |
| BCBS of Western NY | CC/CHP/FHP/CHIP | $553.93 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $727.10 | ↑ +15% |
| Highmark BCBS of PA | Managed Care - Social Mission | $727.10 | ↑ +15% |
| BCBS of Western NY | Medicare Advantage | $760.81 | ↑ +21% |
| BCBS of Western NY | Commercial/Medicaid | $760.81 | ↑ +21% |
| Highmark BCBS of PA | Commercial - Indemnity | $885.34 | ↑ +41% |
| Highmark BCBS of PA | Managed Care | $885.34 | ↑ +41% |
| Aetna | Commercial | $909.00 | ↑ +44% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $1,371.00 | $152.61 – $1,828.00 |
| UPMC Passavant-McCandless | Pittsburgh | $1,798.20 | $152.61 – $2,547.45 |
| UPMC Hamot | Erie | $2,165.40 | $152.61 – $2,526.30 |
| UPMC Carlisle | Carlisle | $1,828.80 | $65.00 – $2,590.80 |
| UPMC Altoona | Altoona | $1,449.00 | $174.21 – $1,932.00 |
| UPMC Bedford | Everett | $903.60 | $145.68 – $1,355.40 |
| UPMC Community Osteopathic | Harrisburg | $1,828.80 | $65.00 – $645.31 |
| UPMC Hanover | Hanover | $1,828.80 | $152.61 – $2,651.76 |