Exc malig tal <0.5cm 11600 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$138.00
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.
$230.00
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.
$28.27 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 | $28.27 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $28.56 | ↓ -79% |
| United Healthcare | Medicare | $28.56 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $28.56 | ↓ -79% |
| Humana | Medicare | $28.85 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $29.27 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $29.27 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $29.58 | ↓ -79% |
| Cigna | Medicare | $29.99 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $30.84 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $30.84 | ↓ -78% |
| Aetna | Medicare | $31.11 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.80 | ↓ -70% |
| UPMC Health Plan | Commercial | $71.40 | ↓ -48% |
| Geisinger | Commercial | $76.50 | ↓ -45% |
| Multiplan | PPO/Auto | $81.60 | ↓ -41% |
| Galaxy Health Plan | Commercial | $81.60 | ↓ -41% |
| InterGroup | PPO | $81.60 | ↓ -41% |
| Multiplan | Worker's Compensation | $81.60 | ↓ -41% |
| Humana | Commercial | $81.60 | ↓ -41% |
| Aetna | Commercial | $83.64 | ↓ -39% |
| Aetna | CHIP/Medicaid | $84.00 | ↓ -39% |
| Geisinger | Medicaid | $111.19 | ↓ -19% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $120.64 | ↓ -13% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $136.34 | ↓ -1% |
| UPMC Work Partners | Workers Comp | $279.87 | ↑ +103% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $868.50 | ↑ +529% |
| Highmark BCBS of PA | Managed Care - Social Mission | $868.50 | ↑ +529% |
| Highmark BCBS of PA | Managed Care | $1,057.60 | ↑ +666% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,057.60 | ↑ +666% |
| UPMC Health Plan | CHIP | $1,731.18 | ↑ +1154% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +1585% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc malig tal <0.5cm 11600 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,034.60 | $101.60 – $2,882.35 |
| UPMC Hanover | Hanover | $2,034.60 | $101.60 – $1,075.42 |
| UPMC Kane | Kane | $973.20 | $88.00 – $825.65 |
| UPMC Lititz | Lititz | $2,034.60 | $101.60 – $1,081.23 |
| UPMC Presbyterian | Pittsburgh | $3,109.80 | $88.00 – $931.20 |
| UPMC St. Margaret | Pittsburgh | $2,574.60 | $88.00 – $737.87 |
| UPMC Altoona | Altoona | not published | $80.00 – $724.45 |
| UPMC Community Osteopathic | Harrisburg | not published | $108.00 – $2,656.50 |