Exc malig feenl <0.5cm 11640 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$166.80
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.
?
What you pay up front if you don't use insurance.
$278.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$34.65 with Highmark BCBS of PA vs $2,325.85 with BCBS of Western NY — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $34.65 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $35.00 | ↓ -79% |
| United Healthcare | Medicare | $35.00 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $35.00 | ↓ -79% |
| Humana | Medicare | $35.35 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $35.88 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $35.88 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $36.25 | ↓ -78% |
| Cigna | Medicare | $36.75 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $37.80 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $37.80 | ↓ -77% |
| Aetna | Medicare | $38.12 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $50.00 | ↓ -70% |
| Aetna | CHIP/Medicaid | $80.85 | ↓ -52% |
| UPMC Health Plan | Commercial | $87.50 | ↓ -48% |
| Geisinger | Commercial | $93.75 | ↓ -44% |
| InterGroup | PPO | $100.00 | ↓ -40% |
| Humana | Commercial | $100.00 | ↓ -40% |
| Galaxy Health Plan | Commercial | $100.00 | ↓ -40% |
| Multiplan | Worker's Compensation | $100.00 | ↓ -40% |
| Multiplan | PPO/Auto | $100.00 | ↓ -40% |
| Aetna | Commercial | $102.50 | ↓ -39% |
| Geisinger | Medicaid | $107.02 | ↓ -36% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $116.12 | ↓ -30% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $131.22 | ↓ -21% |
| UPMC Work Partners | Workers Comp | $352.79 | ↑ +112% |
| Highmark BCBS of PA | Managed Care - Social Mission | $891.97 | ↑ +435% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $891.97 | ↑ +435% |
| Highmark BCBS of PA | Managed Care | $1,086.18 | ↑ +551% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,086.18 | ↑ +551% |
| UPMC Health Plan | CHIP | $1,713.15 | ↑ +927% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +1294% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc malig feenl <0.5cm 11640 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Kane | Kane | $972.60 | $84.70 – $847.96 |
| UPMC Wellsboro | Wellsboro | $1,534.40 | $84.70 – $993.28 |
| UPMC Williamsport | Williamsport | $490.80 | $84.70 – $993.28 |
| Uniontown Hospital | Uniontown | $1,196.50 | $84.70 – $1,425.57 |
| UPMC East | Monroeville | not published | $84.70 – $737.87 |
| UPMC Lititz | Lititz | not published | $97.79 – $1,081.23 |
| UPMC Somerset | Somerset | not published | $84.70 – $892.40 |