Scan duplex extremity veins unilateral/limited study at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$397.80
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.
$663.00
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.
$104.79 with Aetna vs $500.28 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $104.79 | ↓ -74% |
| BCBS of Western NY | Medicare Advantage | $120.69 | ↓ -70% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $134.72 | ↓ -66% |
| UPMC Health Plan | Managed Medicare | $136.08 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $136.08 | ↓ -66% |
| United Healthcare | Medicare | $136.08 | ↓ -66% |
| Humana | Medicare | $137.44 | ↓ -65% |
| Geisinger | Medicaid | $138.71 | ↓ -65% |
| AmeriHealth Caritas | Medicaid | $139.48 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $139.48 | ↓ -65% |
| UPMC Health Plan | Managed Medicaid | $140.94 | ↓ -65% |
| Cigna | Medicare | $142.88 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $146.97 | ↓ -63% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $146.97 | ↓ -63% |
| Aetna | Medicare | $148.23 | ↓ -63% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $150.50 | ↓ -62% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $170.08 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $194.40 | ↓ -51% |
| United Healthcare | Commercial | $270.00 | ↓ -32% |
| UPMC Health Plan | CHIP | $335.05 | ↓ -16% |
| UPMC Health Plan | Commercial | $340.20 | ↓ -14% |
| UPMC Work Partners | Workers Comp | $361.27 | ↓ -9% |
| Geisinger | Commercial | $364.50 | ↓ -8% |
| InterGroup | PPO | $388.80 | ↓ -2% |
| Humana | Commercial | $388.80 | ↓ -2% |
| Galaxy Health Plan | Commercial | $388.80 | ↓ -2% |
| Multiplan | Worker's Compensation | $388.80 | ↓ -2% |
| Multiplan | PPO/Auto | $388.80 | ↓ -2% |
| Aetna | Commercial | $398.52 | ↑ +0% |
| Highmark BCBS of PA | Managed Care - Social Mission | $410.84 | ↑ +3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $410.84 | ↑ +3% |
| Highmark BCBS of PA | Managed Care | $500.28 | ↑ +26% |
| Highmark BCBS of PA | Commercial - Indemnity | $500.28 | ↑ +26% |
Visitor-reported prices
Comments
Scan duplex extremity veins unilateral/limited study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $679.20 | $78.60 – $905.60 |
| UPMC Bedford | Everett | $335.40 | $36.58 – $503.10 |
| UPMC Carlisle | Carlisle | $394.20 | $90.01 – $558.45 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $66.20 – $383.66 |
| UPMC East | Monroeville | $543.60 | $101.65 – $724.80 |
| UPMC Hamot | Erie | $543.60 | $54.63 – $401.38 |
| UPMC Northwest | Seneca | $339.60 | $91.94 – $366.61 |
| UPMC Hanover | Hanover | $394.20 | $100.57 – $383.66 |