Ghs conjunctiva foreign body-embed bil at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$307.80
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.
$513.00
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.
$29.66 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 | $29.66 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $29.96 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $29.96 | ↓ -90% |
| Humana | Medicare | $30.26 | ↓ -90% |
| AmeriHealth Caritas | Medicaid | $30.71 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $30.71 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $31.03 | ↓ -90% |
| Cigna | Medicare | $31.46 | ↓ -90% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $32.36 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $32.36 | ↓ -89% |
| Aetna | Medicare | $32.63 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $42.80 | ↓ -86% |
| Geisinger | Medicaid | $58.85 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $58.85 | ↓ -81% |
| UPMC Health Plan | Commercial | $74.90 | ↓ -76% |
| Geisinger | Commercial | $80.25 | ↓ -74% |
| InterGroup | PPO | $85.60 | ↓ -72% |
| Humana | Commercial | $85.60 | ↓ -72% |
| Galaxy Health Plan | Commercial | $85.60 | ↓ -72% |
| Multiplan | Worker's Compensation | $85.60 | ↓ -72% |
| Multiplan | PPO/Auto | $85.60 | ↓ -72% |
| Aetna | Commercial | $87.74 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $120.84 | ↓ -61% |
| United Healthcare | Medicare | $143.64 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $160.96 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $160.96 | ↓ -48% |
| Highmark BCBS of PA | Managed Care | $196.01 | ↓ -36% |
| Highmark BCBS of PA | Commercial - Indemnity | $196.01 | ↓ -36% |
| UPMC Health Plan | CHIP | $418.26 | ↑ +36% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +656% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ghs conjunctiva foreign body-embed bil at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $844.80 | $120.84 – $1,267.20 |
| UPMC Carlisle | Carlisle | $606.00 | $126.46 – $1,016.56 |
| UPMC Community Osteopathic | Harrisburg | $606.00 | $128.00 – $1,016.56 |
| UPMC Hanover | Hanover | $606.00 | $128.00 – $1,016.56 |
| UPMC Horizon-Greenville | Greenville | $597.00 | $122.31 – $410.88 |
| UPMC Kane | Kane | $326.40 | $120.84 – $308.00 |
| UPMC Lititz | Lititz | $606.00 | $126.46 – $1,016.56 |
| UPMC Magee | Pittsburgh | $543.00 | $127.83 – $418.48 |