Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$280.20
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.
$467.00
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.
$56.83 with Highmark BCBS of PA vs $1,309.43 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $56.83 | ↓ -80% |
| United Healthcare | Medicare | $57.40 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $57.40 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $57.40 | ↓ -80% |
| Humana | Medicare | $57.97 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $58.84 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $58.84 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $59.45 | ↓ -79% |
| Cigna | Medicare | $60.27 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $61.99 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $61.99 | ↓ -78% |
| Aetna | Medicare | $62.52 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $82.00 | ↓ -71% |
| Aetna | CHIP/Medicaid | $99.79 | ↓ -64% |
| Geisinger | Medicaid | $132.10 | ↓ -53% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $143.32 | ↓ -49% |
| UPMC Health Plan | Commercial | $143.50 | ↓ -49% |
| Geisinger | Commercial | $153.75 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $161.97 | ↓ -42% |
| InterGroup | PPO | $164.00 | ↓ -41% |
| Humana | Commercial | $164.00 | ↓ -41% |
| Galaxy Health Plan | Commercial | $164.00 | ↓ -41% |
| Multiplan | Worker's Compensation | $164.00 | ↓ -41% |
| Multiplan | PPO/Auto | $164.00 | ↓ -41% |
| Aetna | Commercial | $168.10 | ↓ -40% |
| UPMC Work Partners | Workers Comp | $413.89 | ↑ +48% |
| UPMC Health Plan | CHIP | $636.50 | ↑ +127% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↑ +175% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,075.30 | ↑ +284% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,075.30 | ↑ +284% |
| Highmark BCBS of PA | Managed Care | $1,309.43 | ↑ +367% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,309.43 | ↑ +367% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,647.20 | $120.70 – $3,750.20 |
| UPMC Community Osteopathic | Harrisburg | $2,647.20 | $128.30 – $3,750.20 |
| UPMC East | Monroeville | $1,935.00 | $104.54 – $2,580.00 |
| UPMC Northwest | Seneca | $2,674.80 | $104.54 – $891.22 |
| UPMC Hanover | Hanover | $2,647.20 | $120.70 – $1,360.78 |
| UPMC Horizon-Greenville | Greenville | $2,674.80 | $104.54 – $1,140.40 |
| UPMC Jameson | New Castle | $2,674.80 | $104.54 – $1,145.85 |
| UPMC Kane | Kane | $844.20 | $104.54 – $1,022.24 |