Etonogestrel implant system at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$967.20
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.
$1,612.00
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.
$446.85 with Highmark BCBS of PA vs $1,384.68 with Highmark BCBS of PA — 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 | $446.85 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $451.36 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $451.36 | ↓ -53% |
| United Healthcare | Medicare | $451.36 | ↓ -53% |
| Humana | Medicare | $455.87 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $462.64 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $462.64 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $467.48 | ↓ -52% |
| Cigna | Medicare | $473.93 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $487.47 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $487.47 | ↓ -50% |
| Aetna | Medicare | $491.66 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $579.68 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicaid | $644.80 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $886.60 | ↓ -8% |
| United Healthcare | Commercial | $886.60 | ↓ -8% |
| Geisinger | Medicaid | $886.60 | ↓ -8% |
| UPMC Health Plan | CHIP | $952.90 | ↓ -1% |
| UPMC Health Plan | Commercial | $1,128.40 | ↑ +17% |
| Geisinger | Commercial | $1,209.00 | ↑ +25% |
| InterGroup | PPO | $1,289.60 | ↑ +33% |
| Humana | Commercial | $1,289.60 | ↑ +33% |
| Galaxy Health Plan | Commercial | $1,289.60 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,289.60 | ↑ +33% |
| Multiplan | PPO/Auto | $1,289.60 | ↑ +33% |
| Aetna | Commercial | $1,321.84 | ↑ +37% |
| Highmark BCBS of PA | Managed Care | $1,384.68 | ↑ +43% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,384.68 | ↑ +43% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,384.68 | ↑ +43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,384.68 | ↑ +43% |
Visitor-reported prices
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Etonogestrel implant system at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,906.40 | $952.90 – $4,372.68 |
| UPMC Carlisle | Carlisle | $693.60 | $141.11 – $1,571.21 |
| UPMC Community Osteopathic | Harrisburg | $693.60 | $206.00 – $1,845.30 |
| UPMC Northwest | Seneca | $3,428.00 | $1,536.64 – $1,536.64 |
| UPMC Hanover | Hanover | $693.60 | $836.01 – $1,571.21 |
| UPMC Horizon-Greenville | Greenville | $3,852.80 | $952.90 – $1,508.92 |
| UPMC Kane | Kane | $1,177.80 | $701.69 – $2,404.97 |
| UPMC Lititz | Lititz | $693.60 | $836.01 – $1,571.21 |