Exc benign feenlm 3.1-4.0cm 11444 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$279.60
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.
$466.00
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.
$56.55 with Highmark BCBS of PA vs $1,714.50 with UPMC Health Plan — 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 | $56.55 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $57.12 | ↓ -80% |
| United Healthcare | Medicare | $57.12 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $57.12 | ↓ -80% |
| Humana | Medicare | $57.69 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $58.55 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $58.55 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $59.16 | ↓ -79% |
| Cigna | Medicare | $59.98 | ↓ -79% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $61.69 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $61.69 | ↓ -78% |
| Aetna | Medicare | $62.22 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $81.60 | ↓ -71% |
| Aetna | CHIP/Medicaid | $122.85 | ↓ -56% |
| UPMC Health Plan | Commercial | $142.80 | ↓ -49% |
| Geisinger | Commercial | $153.00 | ↓ -45% |
| Geisinger | Medicaid | $162.62 | ↓ -42% |
| InterGroup | PPO | $163.20 | ↓ -42% |
| Humana | Commercial | $163.20 | ↓ -42% |
| Galaxy Health Plan | Commercial | $163.20 | ↓ -42% |
| Multiplan | Worker's Compensation | $163.20 | ↓ -42% |
| Multiplan | PPO/Auto | $163.20 | ↓ -42% |
| Aetna | Commercial | $167.28 | ↓ -40% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $176.44 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $199.39 | ↓ -29% |
| UPMC Work Partners | Workers Comp | $436.50 | ↑ +56% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↑ +176% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,249.73 | ↑ +347% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,249.73 | ↑ +347% |
| Highmark BCBS of PA | Managed Care | $1,521.83 | ↑ +444% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,521.83 | ↑ +444% |
| UPMC Health Plan | CHIP | $1,714.50 | ↑ +513% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc benign feenlm 3.1-4.0cm 11444 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,505.20 | $117.00 – $4,673.60 |
| UPMC Carlisle | Carlisle | $2,184.60 | $148.59 – $3,094.85 |
| UPMC Community Osteopathic | Harrisburg | $2,184.60 | $148.59 – $3,094.85 |
| UPMC Hamot | Erie | $3,131.40 | $128.70 – $2,246.66 |
| UPMC Northwest | Seneca | $3,430.80 | $128.70 – $1,414.58 |
| UPMC Hanover | Hanover | $2,184.60 | $148.59 – $2,476.51 |
| UPMC Horizon-Greenville | Greenville | $2,502.60 | $128.70 – $1,668.28 |
| UPMC Jameson | New Castle | $3,037.20 | $128.70 – $2,085.34 |