Remove spine lamina >2 lmbr at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,532.40
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.
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What you pay up front if you don't use insurance.
$2,554.00
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.
$305.20 with Highmark BCBS of PA vs $6,865.57 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 | $305.20 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $308.28 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $308.28 | ↓ -80% |
| United Healthcare | Medicare | $308.28 | ↓ -80% |
| Humana | Medicare | $311.36 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $315.99 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $315.99 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $319.29 | ↓ -79% |
| Cigna | Medicare | $323.69 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $332.94 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $332.94 | ↓ -78% |
| Aetna | Medicare | $335.81 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $440.40 | ↓ -71% |
| Geisinger | Medicaid | $605.55 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $605.55 | ↓ -60% |
| UPMC Health Plan | Commercial | $770.70 | ↓ -50% |
| Geisinger | Commercial | $825.75 | ↓ -46% |
| InterGroup | PPO | $880.80 | ↓ -43% |
| Humana | Commercial | $880.80 | ↓ -43% |
| Galaxy Health Plan | Commercial | $880.80 | ↓ -43% |
| Multiplan | Worker's Compensation | $880.80 | ↓ -43% |
| Multiplan | PPO/Auto | $880.80 | ↓ -43% |
| Aetna | Commercial | $902.82 | ↓ -41% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +52% |
| UPMC Work Partners | Workers Comp | $3,680.48 | ↑ +140% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5,638.00 | ↑ +268% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,638.00 | ↑ +268% |
| Highmark BCBS of PA | Commercial - Indemnity | $6,865.57 | ↑ +348% |
| Highmark BCBS of PA | Managed Care | $6,865.57 | ↑ +348% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Remove spine lamina >2 lmbr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | not published | $931.20 – $7,491.76 |
| UPMC St. Margaret | Pittsburgh | not published | $2,013.02 – $7,491.76 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $12,504.00 – $12,504.00 |