Pq kyphplsty 1 bdy lumb w/img at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$866.40
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.
$1,444.00
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.
$400.28 with Highmark BCBS of PA vs $30,323.27 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 | $400.28 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $404.32 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $404.32 | ↓ -53% |
| Humana | Medicare | $408.36 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $414.43 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $414.43 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $418.76 | ↓ -52% |
| Cigna | Medicare | $424.54 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $436.67 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $436.67 | ↓ -50% |
| Aetna | Medicare | $440.42 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $577.60 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $794.20 | ↓ -8% |
| Geisinger | Medicaid | $794.20 | ↓ -8% |
| UPMC Health Plan | Commercial | $1,010.80 | ↑ +17% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +20% |
| Geisinger | Commercial | $1,083.00 | ↑ +25% |
| InterGroup | PPO | $1,155.20 | ↑ +33% |
| Humana | Commercial | $1,155.20 | ↑ +33% |
| Galaxy Health Plan | Commercial | $1,155.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,155.20 | ↑ +33% |
| Multiplan | PPO/Auto | $1,155.20 | ↑ +33% |
| Aetna | Commercial | $1,184.08 | ↑ +37% |
| UPMC Work Partners | Workers Comp | $9,456.32 | ↑ +991% |
| UPMC Health Plan | CHIP | $11,433.07 | ↑ +1220% |
| Highmark BCBS of PA | Managed Care - Social Mission | $24,901.45 | ↑ +2774% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $24,901.45 | ↑ +2774% |
| Highmark BCBS of PA | Managed Care | $30,323.27 | ↑ +3400% |
| Highmark BCBS of PA | Commercial - Indemnity | $30,323.27 | ↑ +3400% |
Visitor-reported prices
Comments
Pq kyphplsty 1 bdy lumb w/img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $18,813.00 | $1,016.56 – $26,400.15 |
| UPMC Community Osteopathic | Harrisburg | $18,813.00 | $1,016.56 – $26,400.15 |
| UPMC East | Monroeville | $24,137.40 | $4,719.92 – $32,183.20 |
| UPMC Hamot | Erie | $17,721.00 | $4,675.40 – $9,905.66 |
| UPMC Hanover | Hanover | $18,813.00 | $1,016.56 – $11,433.07 |
| UPMC Lititz | Lititz | $18,813.00 | $1,016.56 – $11,433.07 |
| UPMC Memorial | York | $18,813.00 | $1,016.56 – $11,433.07 |
| UPMC Passavant-McCandless | Pittsburgh | $7,489.80 | $4,719.92 – $10,995.72 |