Mopath procedure level 3 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$828.60
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.
$1,381.00
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.
$53.00 with United Healthcare vs $1,104.80 with InterGroup — 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 |
|---|---|---|---|
| United Healthcare | Commercial | $53.00 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $148.57 | ↓ -82% |
| BCBS of Western NY | Medicare Advantage | $150.33 | ↓ -82% |
| Aetna | Commercial | $225.50 | ↓ -73% |
| UPMC Health Plan | CHIP | $364.34 | ↓ -56% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $382.81 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $386.68 | ↓ -53% |
| United Healthcare | Medicare | $386.68 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $386.68 | ↓ -53% |
| Humana | Medicare | $390.55 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $396.35 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $396.35 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $400.49 | ↓ -52% |
| Cigna | Medicare | $406.01 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $417.61 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $417.61 | ↓ -50% |
| Aetna | Medicare | $421.20 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $552.40 | ↓ -33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $696.79 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $696.79 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $759.55 | ↓ -8% |
| Geisinger | Medicaid | $759.55 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $848.48 | ↑ +2% |
| Highmark BCBS of PA | Commercial - Indemnity | $848.48 | ↑ +2% |
| UPMC Health Plan | Commercial | $966.70 | ↑ +17% |
| Geisinger | Commercial | $1,035.75 | ↑ +25% |
| Multiplan | Worker's Compensation | $1,104.80 | ↑ +33% |
| Multiplan | PPO/Auto | $1,104.80 | ↑ +33% |
| Humana | Commercial | $1,104.80 | ↑ +33% |
| Galaxy Health Plan | Commercial | $1,104.80 | ↑ +33% |
| InterGroup | PPO | $1,104.80 | ↑ +33% |
Visitor-reported prices
Comments
Mopath procedure level 3 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,780.80 | $148.57 – $504.80 |
| UPMC Bedford | Everett | $1,366.20 | $54.24 – $1,841.40 |
| UPMC East | Monroeville | $1,699.20 | $100.22 – $624.00 |
| UPMC Hamot | Erie | $1,301.40 | $148.57 – $312.06 |
| UPMC Northwest | Seneca | $2,046.60 | $101.16 – $162.36 |
| UPMC Horizon-Greenville | Greenville | $1,718.40 | $101.48 – $282.09 |
| UPMC Jameson | New Castle | $2,046.60 | $105.45 – $317.56 |
| UPMC Magee | Pittsburgh | $2,046.60 | $106.05 – $315.03 |