Ghs layer closure 5.1 - 7.5 cm - 12053 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,084.80
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.
$1,808.00
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.
$49.88 with Aetna 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $49.88 | ↓ -95% |
| Geisinger | Medicaid | $66.02 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $71.63 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $80.95 | ↓ -93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $176.02 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $177.80 | ↓ -84% |
| UPMC Health Plan | Managed Medicare | $177.80 | ↓ -84% |
| Humana | Medicare | $179.58 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $182.25 | ↓ -83% |
| AmeriHealth Caritas | Medicaid | $182.25 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $184.15 | ↓ -83% |
| Cigna | Medicare | $186.69 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $192.02 | ↓ -82% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $192.02 | ↓ -82% |
| Aetna | Medicare | $193.68 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $254.00 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $374.81 | ↓ -65% |
| UPMC Health Plan | Commercial | $444.50 | ↓ -59% |
| Geisinger | Commercial | $476.25 | ↓ -56% |
| United Healthcare | Medicare | $506.24 | ↓ -53% |
| InterGroup | PPO | $508.00 | ↓ -53% |
| Humana | Commercial | $508.00 | ↓ -53% |
| Galaxy Health Plan | Commercial | $508.00 | ↓ -53% |
| Multiplan | Worker's Compensation | $508.00 | ↓ -53% |
| Multiplan | PPO/Auto | $508.00 | ↓ -53% |
| Aetna | Commercial | $520.70 | ↓ -52% |
| UPMC Health Plan | CHIP | $653.63 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,604.16 | ↑ +48% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,604.16 | ↑ +48% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,953.44 | ↑ +80% |
| Highmark BCBS of PA | Managed Care | $1,953.44 | ↑ +80% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +114% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layer closure 5.1 - 7.5 cm - 12053 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $909.00 | $47.50 – $1,212.00 |
| UPMC Bedford | Everett | $428.40 | $49.88 – $642.60 |
| UPMC Carlisle | Carlisle | $819.00 | $60.33 – $1,160.25 |
| UPMC Community Osteopathic | Harrisburg | $819.00 | $60.33 – $1,160.25 |
| UPMC East | Monroeville | $1,037.40 | $52.25 – $1,383.20 |
| UPMC Hamot | Erie | $880.20 | $52.25 – $554.00 |
| UPMC Northwest | Seneca | $695.40 | $52.25 – $408.14 |
| UPMC Hanover | Hanover | $819.00 | $60.33 – $1,016.56 |