healthcosts.net
Lung Function Test (Spirometry) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$100.20
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.
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What you pay up front if you don't use insurance.
$167.00
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.
$15.75 with Aetna vs $116.90 with United Healthcare — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $15.75 | ↓ -84% |
| Geisinger | Medicaid | $20.85 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $22.62 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $25.56 | ↓ -74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $31.32 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $31.64 | ↓ -68% |
| UPMC Health Plan | Managed Medicare | $31.64 | ↓ -68% |
| Humana | Medicare | $31.96 | ↓ -68% |
| BCBS of Western NY | Medicare Advantage | $32.32 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $32.43 | ↓ -68% |
| AmeriHealth Caritas | Medicaid | $32.43 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $32.77 | ↓ -67% |
| Cigna | Medicare | $33.22 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $34.17 | ↓ -66% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $34.17 | ↓ -66% |
| Aetna | Medicare | $34.47 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicaid | $45.20 | ↓ -55% |
| United Healthcare | Medicare | $46.76 | ↓ -53% |
| UPMC Health Plan | CHIP | $74.54 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $77.98 | ↓ -22% |
| Highmark BCBS of PA | Managed Care - Social Mission | $77.98 | ↓ -22% |
| UPMC Health Plan | Commercial | $79.10 | ↓ -21% |
| Geisinger | Commercial | $84.75 | ↓ -15% |
| Galaxy Health Plan | Commercial | $90.40 | ↓ -10% |
| Humana | Commercial | $90.40 | ↓ -10% |
| Multiplan | Worker's Compensation | $90.40 | ↓ -10% |
| Multiplan | PPO/Auto | $90.40 | ↓ -10% |
| InterGroup | PPO | $90.40 | ↓ -10% |
| UPMC Work Partners | Workers Comp | $92.23 | ↓ -8% |
| Aetna | Commercial | $92.66 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Indemnity | $94.96 | ↓ -5% |
| Highmark BCBS of PA | Managed Care | $94.96 | ↓ -5% |
| United Healthcare | Commercial | $116.90 | ↑ +17% |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $171.60 | $16.50 – $243.10 |
| UPMC East | Monroeville | $142.20 | $16.50 – $189.60 |
| UPMC Hamot | Erie | $150.00 | $16.50 – $205.40 |
| UPMC Carlisle | Carlisle | $346.20 | $11.79 – $490.45 |
| UPMC Altoona | Altoona | $199.80 | $9.00 – $266.40 |
| UPMC Bedford | Everett | $171.60 | $15.75 – $257.40 |
| UPMC Community Osteopathic | Harrisburg | $346.20 | $11.79 – $280.50 |
| UPMC Hanover | Hanover | $346.20 | $11.79 – $501.99 |