Revise spine eltrd plate at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$19,071.00
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.
?
What you pay up front if you don't use insurance.
$31,785.00
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.
$1,078.46 with UPMC Work Partners vs $26,063.70 with Aetna — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $1,078.46 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,937.36 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,937.36 | ↓ -79% |
| UPMC Health Plan | CHIP | $4,693.70 | ↓ -75% |
| Highmark BCBS of PA | Managed Care | $4,794.65 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,794.65 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $6,039.15 | ↓ -68% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $8,810.80 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $8,899.80 | ↓ -53% |
| United Healthcare | Medicare | $8,899.80 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $8,899.80 | ↓ -53% |
| Humana | Medicare | $8,988.80 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $9,122.30 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $9,122.30 | ↓ -52% |
| Cigna | Medicare | $9,344.79 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $9,611.78 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $9,611.78 | ↓ -50% |
| Aetna | Medicare | $9,694.42 | ↓ -49% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10,489.05 | ↓ -45% |
| Geisinger | Medicaid | $10,489.05 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11,442.60 | ↓ -40% |
| UPMC Health Plan | Managed Medicaid | $19,706.70 | ↑ +3% |
| UPMC Health Plan | Commercial | $22,249.50 | ↑ +17% |
| Geisinger | Commercial | $23,838.75 | ↑ +25% |
| Multiplan | Worker's Compensation | $25,428.00 | ↑ +33% |
| InterGroup | PPO | $25,428.00 | ↑ +33% |
| Galaxy Health Plan | Commercial | $25,428.00 | ↑ +33% |
| Multiplan | PPO/Auto | $25,428.00 | ↑ +33% |
| Humana | Commercial | $25,428.00 | ↑ +33% |
| Aetna | Commercial | $26,063.70 | ↑ +37% |
| BCBS of Western NY | Medicare Advantage | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Revise spine eltrd plate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | not published | $1,196.45 – $13,077.83 |
| UPMC Passavant-McCandless | Pittsburgh | not published | $1,078.46 – $13,077.83 |
| UPMC Presbyterian | Pittsburgh | not published | $931.20 – $13,077.83 |
| WellSpan Chambersburg Hospital | Chambersburg | not published | $970.00 – $57,352.15 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $5,627.00 – $5,627.00 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | not published | $970.00 – $1,101.92 |