Exc malig snhfg 0.5cm or less 11620 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$175.80
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.
$293.00
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.
$32.99 with Highmark BCBS of PA vs $2,325.85 with BCBS of Western NY — 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 | $32.99 | ↓ -81% |
| United Healthcare | Medicare | $33.32 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $33.32 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $33.32 | ↓ -81% |
| Humana | Medicare | $33.65 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $34.15 | ↓ -81% |
| AmeriHealth Caritas | Medicaid | $34.15 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $34.51 | ↓ -80% |
| Cigna | Medicare | $34.99 | ↓ -80% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $35.99 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $35.99 | ↓ -80% |
| Aetna | Medicare | $36.30 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.60 | ↓ -73% |
| UPMC Health Plan | Commercial | $83.30 | ↓ -53% |
| Geisinger | Commercial | $89.25 | ↓ -49% |
| InterGroup | PPO | $95.20 | ↓ -46% |
| Humana | Commercial | $95.20 | ↓ -46% |
| Galaxy Health Plan | Commercial | $95.20 | ↓ -46% |
| Multiplan | Worker's Compensation | $95.20 | ↓ -46% |
| Multiplan | PPO/Auto | $95.20 | ↓ -46% |
| Aetna | CHIP/Medicaid | $96.08 | ↓ -45% |
| Aetna | Commercial | $97.58 | ↓ -44% |
| Geisinger | Medicaid | $127.18 | ↓ -28% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $137.98 | ↓ -22% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $155.93 | ↓ -11% |
| UPMC Work Partners | Workers Comp | $310.42 | ↑ +77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $872.91 | ↑ +397% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $872.91 | ↑ +397% |
| Highmark BCBS of PA | Managed Care | $1,062.96 | ↑ +505% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,062.96 | ↑ +505% |
| UPMC Health Plan | CHIP | $1,713.10 | ↑ +874% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +1223% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc malig snhfg 0.5cm or less 11620 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,378.00 | $91.50 – $4,504.00 |
| UPMC Community Osteopathic | Harrisburg | $315.00 | $446.25 – $446.25 |
| UPMC Kane | Kane | $1,273.80 | $100.65 – $829.84 |
| UPMC Somerset | Somerset | $315.00 | $115.40 – $124.62 |
| UPMC Williamsport | Williamsport | $1,105.20 | $100.65 – $1,652.83 |
| UPMC Northwest | Seneca | not published | $100.65 – $1,621.93 |
| WellSpan Good Samaritan Hospital | Lebanon | not published | $1,101.92 – $4,841.06 |