Ndl emg musc 1 xtr/non-limb at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$55.80
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.
?
What you pay up front if you don't use insurance.
$93.00
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.
$11.64 with Highmark BCBS of PA vs $325.65 with Highmark BCBS of PA — 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 | $11.64 | ↓ -79% |
| United Healthcare | Medicare | $11.76 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $11.76 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $11.76 | ↓ -79% |
| Humana | Medicare | $11.88 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $12.05 | ↓ -78% |
| AmeriHealth Caritas | Medicaid | $12.05 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $12.18 | ↓ -78% |
| Cigna | Medicare | $12.35 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $12.70 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $12.70 | ↓ -77% |
| Aetna | Medicare | $12.81 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.80 | ↓ -70% |
| UPMC Health Plan | Commercial | $29.40 | ↓ -47% |
| United Healthcare | Commercial | $29.40 | ↓ -47% |
| Aetna | CHIP/Medicaid | $30.23 | ↓ -46% |
| Geisinger | Commercial | $31.50 | ↓ -44% |
| InterGroup | PPO | $33.60 | ↓ -40% |
| Humana | Commercial | $33.60 | ↓ -40% |
| Galaxy Health Plan | Commercial | $33.60 | ↓ -40% |
| Multiplan | Worker's Compensation | $33.60 | ↓ -40% |
| Multiplan | PPO/Auto | $33.60 | ↓ -40% |
| Aetna | Commercial | $34.44 | ↓ -38% |
| Geisinger | Medicaid | $40.02 | ↓ -28% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $43.42 | ↓ -22% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $49.06 | ↓ -12% |
| UPMC Health Plan | CHIP | $66.92 | ↑ +20% |
| UPMC Work Partners | Workers Comp | $73.87 | ↑ +32% |
| BCBS of Western NY | Medicare Advantage | $89.51 | ↑ +60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $267.43 | ↑ +379% |
| Highmark BCBS of PA | Managed Care - Social Mission | $267.43 | ↑ +379% |
| Highmark BCBS of PA | Commercial - Indemnity | $325.65 | ↑ +484% |
| Highmark BCBS of PA | Managed Care | $325.65 | ↑ +484% |
Visitor-reported prices
Comments
Ndl emg musc 1 xtr/non-limb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $359.40 | $17.10 – $479.20 |
| UPMC Carlisle | Carlisle | $247.80 | $22.61 – $351.05 |
| UPMC Community Osteopathic | Harrisburg | $247.80 | $22.61 – $351.05 |
| UPMC East | Monroeville | $160.80 | $24.92 – $214.40 |
| UPMC Hamot | Erie | $163.80 | $24.68 – $153.18 |
| UPMC Northwest | Seneca | $165.00 | $31.67 – $129.03 |
| UPMC Hanover | Hanover | $247.80 | $22.61 – $197.02 |
| UPMC Lititz | Lititz | $247.80 | $22.61 – $198.08 |