healthcosts.net
Established Patient Office Visit (level 1) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$84.00
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.
$140.00
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.
$19.64 with BCBS of Western NY vs $168.00 with United Healthcare — 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 |
|---|---|---|---|
| BCBS of Western NY | Medicare Advantage | $19.64 | ↓ -77% |
| Aetna | CHIP/Medicaid | $21.00 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $22.56 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $22.56 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $24.39 | ↓ -71% |
| AmeriHealth Caritas | Medicare | $24.64 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $24.64 | ↓ -71% |
| Humana | Medicare | $24.89 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $25.26 | ↓ -70% |
| AmeriHealth Caritas | Medicaid | $25.26 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $25.52 | ↓ -70% |
| Cigna | Medicare | $25.87 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $26.61 | ↓ -68% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $26.61 | ↓ -68% |
| Aetna | Medicare | $26.84 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Indemnity | $27.47 | ↓ -67% |
| Highmark BCBS of PA | Managed Care | $27.47 | ↓ -67% |
| Geisinger | Medicaid | $27.80 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $30.16 | ↓ -64% |
| United Healthcare | Medicare | $31.64 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $32.39 | ↓ -61% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $34.08 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $35.20 | ↓ -58% |
| UPMC Health Plan | Commercial | $61.60 | ↓ -27% |
| Geisinger | Commercial | $66.00 | ↓ -21% |
| Galaxy Health Plan | Commercial | $70.40 | ↓ -16% |
| Humana | Commercial | $70.40 | ↓ -16% |
| Multiplan | Worker's Compensation | $70.40 | ↓ -16% |
| Multiplan | PPO/Auto | $70.40 | ↓ -16% |
| InterGroup | PPO | $70.40 | ↓ -16% |
| Aetna | Commercial | $72.16 | ↓ -14% |
| UPMC Health Plan | CHIP | $93.63 | ↑ +11% |
| United Healthcare | Commercial | $168.00 | ↑ +100% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $108.60 | $22.00 – $153.85 |
| UPMC Altoona | Altoona | $174.60 | $6.00 – $232.80 |
| UPMC Bedford | Everett | $83.40 | $21.00 – $125.10 |
| UPMC Hamot | Erie | $118.20 | $20.20 – $151.40 |
| UPMC Community Osteopathic | Harrisburg | $97.80 | $8.20 – $180.41 |
| UPMC Hanover | Hanover | $24.60 | $7.79 – $38.11 |
| UPMC Horizon-Greenville | Greenville | $141.00 | $21.00 – $199.75 |
| UPMC Jameson | New Castle | $141.00 | $10.18 – $150.48 |