Exc mal+marg tal 3.1-4 cm 11604 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$343.80
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.
$573.00
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.
$131.78 with Aetna vs $2,314.70 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $131.78 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $158.84 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $160.44 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $160.44 | ↓ -53% |
| Humana | Medicare | $162.04 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $164.45 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $164.45 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $166.17 | ↓ -52% |
| Cigna | Medicare | $168.46 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $173.28 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $173.28 | ↓ -50% |
| Geisinger | Medicaid | $174.43 | ↓ -49% |
| Aetna | Medicare | $174.76 | ↓ -49% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $189.25 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $213.88 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicaid | $229.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $401.10 | ↑ +17% |
| Geisinger | Commercial | $429.75 | ↑ +25% |
| InterGroup | PPO | $458.40 | ↑ +33% |
| Humana | Commercial | $458.40 | ↑ +33% |
| Galaxy Health Plan | Commercial | $458.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $458.40 | ↑ +33% |
| Multiplan | PPO/Auto | $458.40 | ↑ +33% |
| Aetna | Commercial | $469.86 | ↑ +37% |
| UPMC Work Partners | Workers Comp | $609.50 | ↑ +77% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +203% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,368.72 | ↑ +298% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,368.72 | ↑ +298% |
| Highmark BCBS of PA | Managed Care | $1,666.73 | ↑ +385% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,666.73 | ↑ +385% |
| UPMC Health Plan | CHIP | $2,314.70 | ↑ +573% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc mal+marg tal 3.1-4 cm 11604 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,034.60 | $159.38 – $2,882.35 |
| UPMC Hanover | Hanover | $2,034.60 | $159.38 – $1,075.42 |
| UPMC Lititz | Lititz | $2,034.60 | $159.38 – $1,081.23 |
| UPMC Magee | Pittsburgh | $3,045.60 | $138.05 – $736.75 |
| UPMC Presbyterian | Pittsburgh | $3,835.20 | $138.05 – $931.20 |
| UPMC St. Margaret | Pittsburgh | $3,448.20 | $138.05 – $736.75 |
| UPMC Williamsport | Williamsport | $491.40 | $138.05 – $993.28 |
| UPMC Altoona | Altoona | not published | $125.50 – $729.80 |