Ghs musc tst done w/n tst non ext at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$90.00
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.
$150.00
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.
$19.40 with Highmark BCBS of PA vs $239.17 with Highmark BCBS of PA — 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 | $19.40 | ↓ -78% |
| United Healthcare | Medicare | $19.60 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $19.60 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $19.60 | ↓ -78% |
| Humana | Medicare | $19.80 | ↓ -78% |
| AmeriHealth Caritas | Medicaid | $20.09 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $20.09 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $20.30 | ↓ -77% |
| Cigna | Medicare | $20.58 | ↓ -77% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $21.17 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $21.17 | ↓ -76% |
| Aetna | Medicare | $21.35 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.00 | ↓ -69% |
| UPMC Health Plan | Commercial | $49.00 | ↓ -46% |
| Geisinger | Commercial | $52.50 | ↓ -42% |
| InterGroup | PPO | $56.00 | ↓ -38% |
| Galaxy Health Plan | Commercial | $56.00 | ↓ -38% |
| Multiplan | Worker's Compensation | $56.00 | ↓ -38% |
| Humana | Commercial | $56.00 | ↓ -38% |
| Multiplan | PPO/Auto | $56.00 | ↓ -38% |
| Aetna | Commercial | $57.40 | ↓ -36% |
| Aetna | CHIP/Medicaid | $61.77 | ↓ -31% |
| Geisinger | Medicaid | $81.77 | ↓ -9% |
| BCBS of Western NY | Medicare Advantage | $84.66 | ↓ -6% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $88.72 | ↓ -1% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $100.26 | ↑ +11% |
| UPMC Work Partners | Workers Comp | $108.42 | ↑ +20% |
| UPMC Health Plan | CHIP | $113.29 | ↑ +26% |
| United Healthcare | Commercial | $168.00 | ↑ +87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $196.41 | ↑ +118% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $196.41 | ↑ +118% |
| Highmark BCBS of PA | Managed Care | $239.17 | ↑ +166% |
| Highmark BCBS of PA | Commercial - Indemnity | $239.17 | ↑ +166% |
Visitor-reported prices
Comments
Ghs musc tst done w/n tst non ext at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $317.40 | $48.04 – $423.20 |
| UPMC Magee | Pittsburgh | $292.80 | $48.04 – $108.42 |
| UPMC Mercy | Pittsburgh | $243.00 | $47.59 – $120.92 |
| UPMC Passavant-McCandless | Pittsburgh | $386.40 | $48.04 – $126.07 |
| UPMC Presbyterian | Pittsburgh | $250.80 | $35.87 – $140.60 |
| UPMC St. Margaret | Pittsburgh | $318.60 | $48.04 – $108.42 |