Measurement post void urine by ultrasound at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$60.00
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.
$100.00
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.
$14.77 with Aetna vs $419.78 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $14.77 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $15.25 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $15.40 | ↓ -74% |
| UPMC Health Plan | Managed Medicare | $15.40 | ↓ -74% |
| Humana | Medicare | $15.55 | ↓ -74% |
| AmeriHealth Caritas | Medicaid | $15.79 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $15.79 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $15.95 | ↓ -73% |
| Cigna | Medicare | $16.17 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $16.63 | ↓ -72% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $16.63 | ↓ -72% |
| Aetna | Medicare | $16.77 | ↓ -72% |
| Geisinger | Medicaid | $19.56 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $21.22 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $22.00 | ↓ -63% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $23.98 | ↓ -60% |
| United Healthcare | Medicare | $28.00 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $35.70 | ↓ -41% |
| UPMC Health Plan | Commercial | $38.50 | ↓ -36% |
| Geisinger | Commercial | $41.25 | ↓ -31% |
| InterGroup | PPO | $44.00 | ↓ -27% |
| Humana | Commercial | $44.00 | ↓ -27% |
| Galaxy Health Plan | Commercial | $44.00 | ↓ -27% |
| Multiplan | Worker's Compensation | $44.00 | ↓ -27% |
| Multiplan | PPO/Auto | $44.00 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $44.54 | ↓ -26% |
| Highmark BCBS of PA | Managed Care - Social Mission | $44.54 | ↓ -26% |
| Aetna | Commercial | $45.10 | ↓ -25% |
| Highmark BCBS of PA | Managed Care | $54.24 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Indemnity | $54.24 | ↓ -10% |
| BCBS of Western NY | Medicare Advantage | $88.25 | ↑ +47% |
| UPMC Health Plan | CHIP | $419.78 | ↑ +600% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Measurement post void urine by ultrasound at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $139.20 | $11.60 – $185.60 |
| UPMC Bedford | Everett | $254.40 | $14.77 – $381.60 |
| UPMC Community Osteopathic | Harrisburg | $151.80 | $17.60 – $419.78 |
| UPMC East | Monroeville | $56.40 | $11.71 – $71.20 |
| UPMC Hamot | Erie | $566.40 | $11.60 – $82.37 |
| UPMC Northwest | Seneca | $256.80 | $15.48 – $59.46 |
| UPMC Hanover | Hanover | $125.40 | $17.87 – $90.78 |
| UPMC Horizon-Greenville | Greenville | $173.40 | $15.48 – $61.16 |