Exc forearm les sc 3 cm/> at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$735.60
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.
$1,226.00
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.
$339.85 with Highmark BCBS of PA vs $2,574.43 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 | $339.85 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $343.28 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $343.28 | ↓ -53% |
| Humana | Medicare | $346.71 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $351.86 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $351.86 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $355.54 | ↓ -52% |
| Cigna | Medicare | $360.44 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $370.74 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $370.74 | ↓ -50% |
| Aetna | Medicare | $373.93 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $490.40 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $622.59 | ↓ -15% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $674.30 | ↓ -8% |
| Geisinger | Medicaid | $674.30 | ↓ -8% |
| UPMC Health Plan | Commercial | $858.20 | ↑ +17% |
| Geisinger | Commercial | $919.50 | ↑ +25% |
| InterGroup | PPO | $980.80 | ↑ +33% |
| Humana | Commercial | $980.80 | ↑ +33% |
| Galaxy Health Plan | Commercial | $980.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $980.80 | ↑ +33% |
| Multiplan | PPO/Auto | $980.80 | ↑ +33% |
| Aetna | Commercial | $1,005.32 | ↑ +37% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,888.69 | ↑ +157% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,888.69 | ↑ +157% |
| Highmark BCBS of PA | Managed Care | $2,299.91 | ↑ +213% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,299.91 | ↑ +213% |
| UPMC Health Plan | CHIP | $2,574.43 | ↑ +250% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc forearm les sc 3 cm/> at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $1,921.00 | $205.80 – $3,324.90 |
| UPMC Community Osteopathic | Harrisburg | not published | $651.55 – $7,348.95 |
| UPMC Northwest | Seneca | not published | $622.59 – $1,668.28 |
| UPMC Hanover | Hanover | not published | $651.55 – $2,574.43 |
| UPMC Lititz | Lititz | not published | $651.55 – $2,574.43 |
| UPMC Memorial | York | not published | $608.98 – $2,574.43 |
| UPMC Presbyterian | Pittsburgh | not published | $700.30 – $1,699.17 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $10,638.00 – $10,638.00 |