Infect ag ia optc obs influenza at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$53.40
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.
?
What you pay up front if you don't use insurance.
$89.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$10.76 with BCBS of Western NY vs $93.41 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $10.76 | ↓ -80% |
| Aetna | CHIP/Medicaid | $11.92 | ↓ -78% |
| Geisinger | Medicaid | $15.78 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $16.36 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $17.12 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $19.34 | ↓ -64% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $24.67 | ↓ -54% |
| Aetna | Commercial | $24.82 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $24.92 | ↓ -53% |
| United Healthcare | Medicare | $24.92 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $24.92 | ↓ -53% |
| Humana | Medicare | $25.17 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $25.54 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $25.54 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $25.81 | ↓ -52% |
| Cigna | Medicare | $26.17 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $26.91 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $26.91 | ↓ -50% |
| Aetna | Medicare | $27.14 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $35.60 | ↓ -33% |
| United Healthcare | Commercial | $53.00 | ↓ -1% |
| UPMC Health Plan | Commercial | $62.30 | ↑ +17% |
| Geisinger | Commercial | $66.75 | ↑ +25% |
| UPMC Health Plan | CHIP | $70.00 | ↑ +31% |
| InterGroup | PPO | $71.20 | ↑ +33% |
| Humana | Commercial | $71.20 | ↑ +33% |
| Galaxy Health Plan | Commercial | $71.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $71.20 | ↑ +33% |
| Multiplan | PPO/Auto | $71.20 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $76.71 | ↑ +44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $76.71 | ↑ +44% |
| Highmark BCBS of PA | Commercial - Indemnity | $93.41 | ↑ +75% |
| Highmark BCBS of PA | Managed Care | $93.41 | ↑ +75% |
Visitor-reported prices
Comments
Infect ag ia optc obs influenza at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $102.60 | $5.97 – $153.90 |
| UPMC Muncy | Muncy | $379.20 | $12.48 – $19.34 |
| UPMC Wellsboro | Wellsboro | $458.40 | $11.35 – $19.34 |
| UPMC Williamsport | Williamsport | $13.20 | $12.48 – $18.07 |
| Uniontown Hospital | Uniontown | $358.00 | $12.49 – $34.37 |