Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$204.00
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.
$340.00
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.
$94.25 with Highmark BCBS of PA vs $778.22 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 | $94.25 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $95.20 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $95.20 | ↓ -53% |
| United Healthcare | Medicare | $95.20 | ↓ -53% |
| Humana | Medicare | $96.15 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $97.58 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $97.58 | ↓ -52% |
| Cigna | Medicare | $99.96 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicaid | $101.03 | ↓ -50% |
| Geisinger | Medicaid | $101.03 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $101.03 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $102.82 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $102.82 | ↓ -50% |
| Aetna | Medicare | $103.70 | ↓ -49% |
| UPMC Health Plan | Managed Medicaid | $111.13 | ↓ -46% |
| BCBS of Western NY | Medicare Advantage | $111.59 | ↓ -45% |
| UPMC Health Plan | CHIP | $120.41 | ↓ -41% |
| UPMC Work Partners | Workers Comp | $122.26 | ↓ -40% |
| UPMC Health Plan | Commercial | $238.00 | ↑ +17% |
| Geisinger | Commercial | $255.00 | ↑ +25% |
| InterGroup | PPO | $272.00 | ↑ +33% |
| Humana | Commercial | $272.00 | ↑ +33% |
| Galaxy Health Plan | Commercial | $272.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $272.00 | ↑ +33% |
| Multiplan | PPO/Auto | $272.00 | ↑ +33% |
| Aetna | Commercial | $278.80 | ↑ +37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $639.08 | ↑ +213% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $639.08 | ↑ +213% |
| Highmark BCBS of PA | Managed Care | $778.22 | ↑ +281% |
| Highmark BCBS of PA | Commercial - Indemnity | $778.22 | ↑ +281% |
Visitor-reported prices
Comments
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $319.20 | $36.53 – $425.60 |
| UPMC Bedford | Everett | $328.80 | $63.79 – $493.20 |
| UPMC Hamot | Erie | $328.80 | $36.53 – $235.18 |
| UPMC Wellsboro | Wellsboro | $3,241.60 | $101.03 – $111.13 |
| UPMC Williamsport | Williamsport | $1,233.60 | $101.03 – $111.13 |
| WellSpan Ephrata Community Hospital | Ephrata | $4,721.60 | $101.03 – $369.11 |
| Uniontown Hospital | Uniontown | $397.00 | $126.52 – $294.79 |