Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$165.60
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.
$276.00
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.
$76.51 with Highmark BCBS of PA vs $1,834.56 with UPMC Health Plan — 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 | $76.51 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $77.28 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $77.28 | ↓ -53% |
| Humana | Medicare | $78.05 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $79.21 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $79.21 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $80.04 | ↓ -52% |
| Cigna | Medicare | $81.14 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $83.46 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $83.46 | ↓ -50% |
| Aetna | Medicare | $84.18 | ↓ -49% |
| Aetna | CHIP/Medicaid | $85.39 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicaid | $110.40 | ↓ -33% |
| Geisinger | Medicaid | $113.03 | ↓ -32% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $122.63 | ↓ -26% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $138.59 | ↓ -16% |
| UPMC Health Plan | Commercial | $193.20 | ↑ +17% |
| Geisinger | Commercial | $207.00 | ↑ +25% |
| InterGroup | PPO | $220.80 | ↑ +33% |
| Humana | Commercial | $220.80 | ↑ +33% |
| Galaxy Health Plan | Commercial | $220.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $220.80 | ↑ +33% |
| Multiplan | PPO/Auto | $220.80 | ↑ +33% |
| Aetna | Commercial | $226.32 | ↑ +37% |
| UPMC Work Partners | Workers Comp | $311.81 | ↑ +88% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↑ +366% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,128.83 | ↑ +582% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,128.83 | ↑ +582% |
| Highmark BCBS of PA | Managed Care | $1,374.61 | ↑ +730% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,374.61 | ↑ +730% |
| UPMC Health Plan | CHIP | $1,834.56 | ↑ +1008% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,094.60 | $81.32 – $2,792.80 |
| UPMC Carlisle | Carlisle | $2,048.40 | $103.28 – $2,901.90 |
| UPMC Community Osteopathic | Harrisburg | $2,048.40 | $103.28 – $2,901.90 |
| UPMC East | Monroeville | $1,771.20 | $89.45 – $2,361.60 |
| UPMC Hamot | Erie | $2,868.60 | $89.45 – $960.26 |
| UPMC Northwest | Seneca | $3,253.20 | $89.45 – $693.24 |
| UPMC Hanover | Hanover | $2,048.40 | $103.28 – $1,058.50 |
| UPMC Horizon-Greenville | Greenville | $3,214.20 | $89.45 – $713.05 |