Exc benign feenlm >4.0cm 11446 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$555.60
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.
$926.00
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.
$78.45 with Highmark BCBS of PA vs $2,314.48 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 | $78.45 | ↓ -86% |
| United Healthcare | Medicare | $79.24 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $79.24 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $79.24 | ↓ -86% |
| Humana | Medicare | $80.03 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $81.22 | ↓ -85% |
| AmeriHealth Caritas | Medicaid | $81.22 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $82.07 | ↓ -85% |
| Cigna | Medicare | $83.20 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $85.58 | ↓ -85% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $85.58 | ↓ -85% |
| Aetna | Medicare | $86.31 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $113.20 | ↓ -80% |
| Aetna | CHIP/Medicaid | $124.42 | ↓ -78% |
| Geisinger | Medicaid | $164.70 | ↓ -70% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $178.70 | ↓ -68% |
| UPMC Health Plan | Commercial | $198.10 | ↓ -64% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $201.95 | ↓ -64% |
| Geisinger | Commercial | $212.25 | ↓ -62% |
| InterGroup | PPO | $226.40 | ↓ -59% |
| Humana | Commercial | $226.40 | ↓ -59% |
| Galaxy Health Plan | Commercial | $226.40 | ↓ -59% |
| Multiplan | Worker's Compensation | $226.40 | ↓ -59% |
| Multiplan | PPO/Auto | $226.40 | ↓ -59% |
| Aetna | Commercial | $232.06 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $708.76 | ↑ +28% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +88% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,691.74 | ↑ +204% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,691.74 | ↑ +204% |
| Highmark BCBS of PA | Managed Care | $2,060.08 | ↑ +271% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,060.08 | ↑ +271% |
| UPMC Health Plan | CHIP | $2,314.48 | ↑ +317% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc benign feenlm >4.0cm 11446 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,515.40 | $150.50 – $4,980.15 |
| UPMC Community Osteopathic | Harrisburg | $3,515.40 | $150.50 – $4,980.15 |
| UPMC Hanover | Hanover | $3,515.40 | $150.50 – $4,374.59 |
| UPMC Lititz | Lititz | $3,515.40 | $150.50 – $4,398.21 |
| UPMC Memorial | York | $3,515.40 | $150.50 – $4,391.07 |
| UPMC Presbyterian | Pittsburgh | $5,502.00 | $130.35 – $3,001.48 |
| UPMC Somerset | Somerset | $3,515.40 | $130.35 – $2,728.62 |
| UPMC St. Margaret | Pittsburgh | $3,992.40 | $130.35 – $736.75 |