Off/op cnsltj new/est mod 40 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$537.00
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.
$895.00
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.
$135.27 with Highmark BCBS of PA vs $808.36 with Highmark BCBS of PA — 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 | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $135.27 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $136.64 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $136.64 | ↓ -75% |
| Humana | Medicare | $138.01 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $140.06 | ↓ -74% |
| AmeriHealth Caritas | Medicaid | $140.06 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $141.52 | ↓ -74% |
| Cigna | Medicare | $143.47 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $147.57 | ↓ -73% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $147.57 | ↓ -73% |
| Aetna | Medicare | $148.84 | ↓ -72% |
| United Healthcare | Commercial | $168.00 | ↓ -69% |
| BCBS of Western NY | Medicare Advantage | $193.20 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $195.20 | ↓ -64% |
| United Healthcare | Medicare | $250.60 | ↓ -53% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $268.40 | ↓ -50% |
| Geisinger | Medicaid | $268.40 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $294.71 | ↓ -45% |
| UPMC Health Plan | Commercial | $341.60 | ↓ -36% |
| Geisinger | Commercial | $366.00 | ↓ -32% |
| InterGroup | PPO | $390.40 | ↓ -27% |
| Humana | Commercial | $390.40 | ↓ -27% |
| Galaxy Health Plan | Commercial | $390.40 | ↓ -27% |
| Multiplan | Worker's Compensation | $390.40 | ↓ -27% |
| Multiplan | PPO/Auto | $390.40 | ↓ -27% |
| Aetna | Commercial | $400.16 | ↓ -25% |
| UPMC Health Plan | CHIP | $426.89 | ↓ -21% |
| Highmark BCBS of PA | Managed Care - Social Mission | $663.87 | ↑ +24% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $663.87 | ↑ +24% |
| Highmark BCBS of PA | Managed Care | $808.36 | ↑ +51% |
| Highmark BCBS of PA | Commercial - Indemnity | $808.36 | ↑ +51% |
Visitor-reported prices
Comments
Off/op cnsltj new/est mod 40 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $693.60 | $138.78 – $982.60 |
| UPMC Somerset | Somerset | $693.60 | $22.91 – $294.71 |
| UPMC Wellsboro | Wellsboro | $268.20 | $135.60 – $294.71 |
| UPMC Western Psychiatric | Pittsburgh | $487.20 | $133.92 – $133.92 |