Hc pet myocardial imaging metabolic eval single study at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$5,625.00
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.
$9,375.00
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.
$1,220.15 with BCBS of Western NY vs $8,564.54 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 |
|---|---|---|---|
| BCBS of Western NY | Medicare Advantage | $1,220.15 | ↓ -78% |
| Aetna | CHIP/Medicaid | $1,522.04 | ↓ -73% |
| Geisinger | Medicaid | $2,014.74 | ↓ -64% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,185.94 | ↓ -61% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,470.34 | ↓ -56% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,598.75 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $2,625.00 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $2,625.00 | ↓ -53% |
| United Healthcare | Medicare | $2,625.00 | ↓ -53% |
| Humana | Medicare | $2,651.25 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $2,690.62 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $2,690.62 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $2,718.75 | ↓ -52% |
| Cigna | Medicare | $2,756.25 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $2,835.00 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $2,835.00 | ↓ -50% |
| Aetna | Medicare | $2,859.38 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,750.00 | ↓ -33% |
| United Healthcare | Commercial | $6,562.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $6,562.50 | ↑ +17% |
| Geisinger | Commercial | $7,031.25 | ↑ +25% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,033.36 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,033.36 | ↑ +25% |
| Galaxy Health Plan | Commercial | $7,500.00 | ↑ +33% |
| InterGroup | PPO | $7,500.00 | ↑ +33% |
| Humana | Commercial | $7,500.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $7,500.00 | ↑ +33% |
| Multiplan | PPO/Auto | $7,500.00 | ↑ +33% |
| Aetna | Commercial | $7,687.50 | ↑ +37% |
| Highmark BCBS of PA | Managed Care | $8,564.54 | ↑ +52% |
| Highmark BCBS of PA | Commercial - Indemnity | $8,564.54 | ↑ +52% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Hc pet myocardial imaging metabolic eval single study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,972.20 | $800.00 – $7,043.95 |
| UPMC Community Osteopathic | Harrisburg | $4,972.20 | $1,271.33 – $7,043.95 |
| UPMC Hanover | Hanover | $4,972.20 | $800.00 – $1,995.41 |
| UPMC Kane | Kane | $4,185.00 | $1,594.52 – $5,345.02 |
| UPMC Lititz | Lititz | $4,972.20 | $800.00 – $2,006.18 |
| UPMC Memorial | York | $4,972.20 | $800.00 – $7,091.44 |
| UPMC Presbyterian | Pittsburgh | $12,446.40 | $1,344.19 – $2,256.53 |
| UPMC Somerset | Somerset | $4,972.20 | $1,232.17 – $2,014.74 |