healthcosts.net
New Patient Office Visit (level 4) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$420.00
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.
$700.00
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.
$61.30 with Highmark BCBS of PA vs $371.06 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 | Commercial - Social Mission Indemnity | $61.30 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $61.30 | ↓ -85% |
| Highmark BCBS of PA | Commercial - Indemnity | $74.64 | ↓ -82% |
| Highmark BCBS of PA | Managed Care | $74.64 | ↓ -82% |
| Aetna | CHIP/Medicaid | $94.89 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $103.95 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $105.00 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $105.00 | ↓ -75% |
| Humana | Medicare | $106.05 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $107.62 | ↓ -74% |
| AmeriHealth Caritas | Medicaid | $107.62 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $108.75 | ↓ -74% |
| Cigna | Medicare | $110.25 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $113.40 | ↓ -73% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $113.40 | ↓ -73% |
| Aetna | Medicare | $114.38 | ↓ -73% |
| Geisinger | Medicaid | $125.61 | ↓ -70% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $136.28 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $150.00 | ↓ -64% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $154.01 | ↓ -63% |
| United Healthcare | Commercial | $168.00 | ↓ -60% |
| BCBS of Western NY | Medicare Advantage | $171.51 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $193.76 | ↓ -54% |
| United Healthcare | Medicare | $196.00 | ↓ -53% |
| UPMC Health Plan | Commercial | $262.50 | ↓ -38% |
| Geisinger | Commercial | $281.25 | ↓ -33% |
| Galaxy Health Plan | Commercial | $300.00 | ↓ -29% |
| Humana | Commercial | $300.00 | ↓ -29% |
| Multiplan | Worker's Compensation | $300.00 | ↓ -29% |
| Multiplan | PPO/Auto | $300.00 | ↓ -29% |
| InterGroup | PPO | $300.00 | ↓ -29% |
| Aetna | Commercial | $307.50 | ↓ -27% |
| UPMC Health Plan | CHIP | $371.06 | ↓ -12% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $303.00 | $99.41 – $429.25 |
| UPMC East | Monroeville | $425.40 | $36.08 – $567.20 |
| UPMC Hamot | Erie | $297.00 | $74.25 – $419.02 |
| UPMC Altoona | Altoona | $274.20 | $20.00 – $365.60 |
| UPMC Bedford | Everett | $287.40 | $36.08 – $431.10 |
| UPMC Community Osteopathic | Harrisburg | $610.80 | $42.00 – $658.70 |
| UPMC Hanover | Hanover | $126.00 | $39.90 – $205.92 |
| UPMC Horizon-Greenville | Greenville | $433.80 | $94.89 – $614.55 |