Ins/rpl pm gen exist sgl lead at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$541.80
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.
$903.00
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.
$250.31 with Highmark BCBS of PA vs $5,168.02 with UPMC Health Plan — 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 | $250.31 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $252.84 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $252.84 | ↓ -53% |
| Humana | Medicare | $255.37 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $259.16 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $259.16 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $261.87 | ↓ -52% |
| Cigna | Medicare | $265.48 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $273.07 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $273.07 | ↓ -50% |
| Aetna | Medicare | $275.42 | ↓ -49% |
| Aetna | CHIP/Medicaid | $316.05 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicaid | $361.20 | ↓ -33% |
| Geisinger | Medicaid | $418.36 | ↓ -23% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $453.91 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $512.96 | ↓ -5% |
| UPMC Health Plan | Commercial | $632.10 | ↑ +17% |
| Geisinger | Commercial | $677.25 | ↑ +25% |
| InterGroup | PPO | $722.40 | ↑ +33% |
| Humana | Commercial | $722.40 | ↑ +33% |
| Galaxy Health Plan | Commercial | $722.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $722.40 | ↑ +33% |
| Multiplan | PPO/Auto | $722.40 | ↑ +33% |
| Aetna | Commercial | $740.46 | ↑ +37% |
| UPMC Work Partners | Workers Comp | $1,111.71 | ↑ +105% |
| BCBS of Western NY | Medicare Advantage | $1,192.92 | ↑ +120% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,412.03 | ↑ +161% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,412.03 | ↑ +161% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,719.47 | ↑ +217% |
| Highmark BCBS of PA | Managed Care | $1,719.47 | ↑ +217% |
| UPMC Health Plan | CHIP | $5,168.02 | ↑ +854% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,344.20 | $301.00 – $7,125.60 |
| UPMC Carlisle | Carlisle | $18,185.40 | $382.27 – $25,762.65 |
| UPMC Community Osteopathic | Harrisburg | $18,185.40 | $382.27 – $25,762.65 |
| UPMC East | Monroeville | $6,828.00 | $331.10 – $9,104.00 |
| UPMC Hanover | Hanover | $18,185.40 | $382.27 – $12,649.66 |
| UPMC Lititz | Lititz | $18,185.40 | $382.27 – $12,718.00 |
| UPMC Memorial | York | $18,185.40 | $382.27 – $12,697.34 |
| UPMC Passavant-McCandless | Pittsburgh | $14,386.80 | $331.10 – $8,679.17 |