Impl neurostim electr perc at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$785.40
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.
$1,309.00
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.
$362.85 with Highmark BCBS of PA vs $12,160.49 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 | $362.85 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $366.52 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $366.52 | ↓ -53% |
| Humana | Medicare | $370.19 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $375.68 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $375.68 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $379.61 | ↓ -52% |
| Cigna | Medicare | $384.85 | ↓ -51% |
| Aetna | CHIP/Medicaid | $391.60 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $395.84 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $395.84 | ↓ -50% |
| Aetna | Medicare | $399.25 | ↓ -49% |
| Geisinger | Medicaid | $518.36 | ↓ -34% |
| Highmark Wholecare (prev Gateway) | Medicaid | $523.60 | ↓ -33% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $562.41 | ↓ -28% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $635.58 | ↓ -19% |
| UPMC Health Plan | Commercial | $916.30 | ↑ +17% |
| Geisinger | Commercial | $981.75 | ↑ +25% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +33% |
| InterGroup | PPO | $1,047.20 | ↑ +33% |
| Humana | Commercial | $1,047.20 | ↑ +33% |
| Galaxy Health Plan | Commercial | $1,047.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,047.20 | ↑ +33% |
| Multiplan | PPO/Auto | $1,047.20 | ↑ +33% |
| Aetna | Commercial | $1,073.38 | ↑ +37% |
| UPMC Work Partners | Workers Comp | $1,545.57 | ↑ +97% |
| UPMC Health Plan | CHIP | $2,317.11 | ↑ +195% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9,986.18 | ↑ +1171% |
| Highmark BCBS of PA | Managed Care - Social Mission | $9,986.18 | ↑ +1171% |
| Highmark BCBS of PA | Commercial - Indemnity | $12,160.49 | ↑ +1448% |
| Highmark BCBS of PA | Managed Care | $12,160.49 | ↑ +1448% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Impl neurostim electr perc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $12,736.80 | $473.65 – $18,043.80 |
| UPMC Community Osteopathic | Harrisburg | $12,736.80 | $503.48 – $18,043.80 |
| UPMC East | Monroeville | $3,768.60 | $410.25 – $6,569.79 |
| UPMC Northwest | Seneca | $4,795.80 | $410.25 – $6,569.79 |
| UPMC Hanover | Hanover | $12,736.80 | $473.65 – $10,031.26 |
| UPMC Kane | Kane | $5,749.20 | $410.25 – $9,493.47 |
| UPMC Lititz | Lititz | $12,736.80 | $473.65 – $10,085.44 |
| UPMC Memorial | York | $12,736.80 | $473.65 – $10,069.06 |