Prgrmg eval implantable dfb at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$183.00
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.
$305.00
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.
$61.51 with Aetna vs $280.17 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $61.51 | ↓ -66% |
| Geisinger | Medicaid | $81.42 | ↓ -56% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $84.55 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $85.40 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $85.40 | ↓ -53% |
| United Healthcare | Medicare | $85.40 | ↓ -53% |
| Humana | Medicare | $86.25 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $87.53 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $87.53 | ↓ -52% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $88.34 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $88.45 | ↓ -52% |
| Cigna | Medicare | $89.67 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $92.23 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $92.23 | ↓ -50% |
| Aetna | Medicare | $93.03 | ↓ -49% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $99.83 | ↓ -45% |
| BCBS of Western NY | Medicare Advantage | $119.64 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicaid | $122.00 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $153.32 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $193.59 | ↑ +6% |
| Highmark BCBS of PA | Managed Care - Social Mission | $193.59 | ↑ +6% |
| United Healthcare | Commercial | $213.50 | ↑ +17% |
| UPMC Health Plan | Commercial | $213.50 | ↑ +17% |
| Geisinger | Commercial | $228.75 | ↑ +25% |
| Highmark BCBS of PA | Managed Care | $235.73 | ↑ +29% |
| Highmark BCBS of PA | Commercial - Indemnity | $235.73 | ↑ +29% |
| Galaxy Health Plan | Commercial | $244.00 | ↑ +33% |
| InterGroup | PPO | $244.00 | ↑ +33% |
| Multiplan | PPO/Auto | $244.00 | ↑ +33% |
| Humana | Commercial | $244.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $244.00 | ↑ +33% |
| Aetna | Commercial | $250.10 | ↑ +37% |
| UPMC Health Plan | CHIP | $280.17 | ↑ +53% |
Visitor-reported prices
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Prgrmg eval implantable dfb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $379.80 | $16.63 – $506.40 |
| UPMC Hamot | Erie | $585.60 | $41.03 – $153.32 |
| UPMC Jameson | New Castle | $332.40 | $19.12 – $153.32 |
| UPMC Magee | Pittsburgh | $318.00 | $33.27 – $153.32 |
| UPMC Mercy | Pittsburgh | $183.60 | $29.63 – $171.31 |
| UPMC Passavant-McCandless | Pittsburgh | $298.80 | $33.04 – $178.28 |
| UPMC Presbyterian | Pittsburgh | $649.80 | $19.96 – $199.20 |
| UPMC St. Margaret | Pittsburgh | $316.80 | $30.69 – $153.32 |