Inject sacroiliac joint at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$318.00
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.
$530.00
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.
$88.25 with BCBS of Western NY vs $869.14 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 | $88.25 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $146.92 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $148.40 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $148.40 | ↓ -53% |
| Humana | Medicare | $149.88 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $152.11 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $152.11 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $153.70 | ↓ -52% |
| Cigna | Medicare | $155.82 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $160.27 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $160.27 | ↓ -50% |
| Aetna | Medicare | $161.65 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $212.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $226.58 | ↓ -29% |
| Geisinger | Medicaid | $291.50 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $291.50 | ↓ -8% |
| UPMC Health Plan | Commercial | $371.00 | ↑ +17% |
| Geisinger | Commercial | $397.50 | ↑ +25% |
| InterGroup | PPO | $424.00 | ↑ +33% |
| Humana | Commercial | $424.00 | ↑ +33% |
| Galaxy Health Plan | Commercial | $424.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $424.00 | ↑ +33% |
| Multiplan | PPO/Auto | $424.00 | ↑ +33% |
| Aetna | Commercial | $434.60 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $713.73 | ↑ +124% |
| Highmark BCBS of PA | Managed Care - Social Mission | $713.73 | ↑ +124% |
| UPMC Work Partners | Workers Comp | $817.22 | ↑ +157% |
| Highmark BCBS of PA | Managed Care | $869.14 | ↑ +173% |
| Highmark BCBS of PA | Commercial - Indemnity | $869.14 | ↑ +173% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Inject sacroiliac joint at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Kane | Kane | $719.40 | $166.84 – $902.75 |
| UPMC Passavant-McCandless | Pittsburgh | $3,000.60 | $126.26 – $950.26 |
| UPMC Williamsport | Williamsport | $2,370.00 | $78.32 – $902.75 |
| WellSpan Chambersburg Hospital | Chambersburg | $1,600.80 | $76.49 – $1,440.72 |
| WellSpan Ephrata Community Hospital | Ephrata | $2,447.20 | $76.49 – $1,170.47 |
| Uniontown Hospital | Uniontown | $1,710.00 | $67.31 – $225.40 |
| WellSpan Evangelical Community Hospital | Lewisburg | $2,364.80 | $67.31 – $2,718.13 |
| UPMC Altoona | Altoona | not published | $226.58 – $817.22 |