Ghs moderate sedation, > 5 yr, 30 min, other at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$118.80
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.
$198.00
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.
$54.89 with Highmark BCBS of PA vs $162.36 with Aetna — 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 | $54.89 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $55.44 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $55.44 | ↓ -53% |
| Humana | Medicare | $55.99 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $56.83 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $56.83 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $57.42 | ↓ -52% |
| Cigna | Medicare | $58.21 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $59.88 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $59.88 | ↓ -50% |
| Aetna | Medicare | $60.39 | ↓ -49% |
| Aetna | CHIP/Medicaid | $64.16 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicaid | $79.20 | ↓ -33% |
| BCBS of Western NY | Medicare Advantage | $80.52 | ↓ -32% |
| Geisinger | Medicaid | $84.92 | ↓ -29% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $92.14 | ↓ -22% |
| UPMC Work Partners | Workers Comp | $100.50 | ↓ -15% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $104.13 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $124.90 | ↑ +5% |
| Highmark BCBS of PA | Managed Care - Social Mission | $124.90 | ↑ +5% |
| UPMC Health Plan | Commercial | $138.60 | ↑ +17% |
| Geisinger | Commercial | $148.50 | ↑ +25% |
| Highmark BCBS of PA | Managed Care | $150.48 | ↑ +27% |
| Highmark BCBS of PA | Commercial - Indemnity | $150.48 | ↑ +27% |
| Humana | Commercial | $158.40 | ↑ +33% |
| InterGroup | PPO | $158.40 | ↑ +33% |
| Galaxy Health Plan | Commercial | $158.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $158.40 | ↑ +33% |
| Multiplan | PPO/Auto | $158.40 | ↑ +33% |
| Aetna | Commercial | $162.36 | ↑ +37% |
Visitor-reported prices
Comments
Ghs moderate sedation, > 5 yr, 30 min, other at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $429.60 | $67.21 – $124.28 |
| WellSpan Chambersburg Hospital | Chambersburg | $149.60 | $76.38 – $134.64 |
| WellSpan Ephrata Community Hospital | Ephrata | $230.40 | $76.38 – $207.74 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $188.80 | $76.38 – $207.74 |
| Uniontown Hospital | Uniontown | $122.50 | $56.62 – $76.38 |
| WellSpan Waynesboro Hospital | Waynesboro | $149.60 | $64.46 – $86.76 |
| WellSpan Evangelical Community Hospital | Lewisburg | $1,703.60 | $67.21 – $79.43 |
| WellSpan Good Samaritan Hospital | Lebanon | $227.20 | $76.38 – $207.74 |