Scan proc cranial extra at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$220.80
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.
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What you pay up front if you don't use insurance.
$368.00
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.
$88.25 with BCBS of Western NY vs $4,344.93 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 |
|---|---|---|---|
| BCBS of Western NY | Medicare Advantage | $88.25 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $102.01 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $103.04 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $103.04 | ↓ -53% |
| Humana | Medicare | $104.07 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $105.62 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $105.62 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $106.72 | ↓ -52% |
| Cigna | Medicare | $108.19 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $111.28 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $111.28 | ↓ -50% |
| Aetna | Medicare | $112.24 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $147.20 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $202.40 | ↓ -8% |
| Geisinger | Medicaid | $202.40 | ↓ -8% |
| UPMC Health Plan | Commercial | $257.60 | ↑ +17% |
| Geisinger | Commercial | $276.00 | ↑ +25% |
| InterGroup | PPO | $294.40 | ↑ +33% |
| Humana | Commercial | $294.40 | ↑ +33% |
| Galaxy Health Plan | Commercial | $294.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $294.40 | ↑ +33% |
| Multiplan | PPO/Auto | $294.40 | ↑ +33% |
| Aetna | Commercial | $301.76 | ↑ +37% |
| UPMC Work Partners | Workers Comp | $303.93 | ↑ +38% |
| Highmark BCBS of PA | Managed Care - Social Mission | $768.67 | ↑ +248% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $768.67 | ↑ +248% |
| Highmark BCBS of PA | Managed Care | $936.03 | ↑ +324% |
| Highmark BCBS of PA | Commercial - Indemnity | $936.03 | ↑ +324% |
| UPMC Health Plan | CHIP | $4,344.93 | ↑ +1868% |
Visitor-reported prices
Comments
Scan proc cranial extra at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $839.25 | $141.37 – $293.63 |
| UPMC Bedford | Everett | not published | $303.93 – $3,213.07 |
| UPMC Community Osteopathic | Harrisburg | not published | $139.19 – $4,344.93 |
| UPMC Hamot | Erie | not published | $303.93 – $5,394.38 |
| UPMC Hanover | Hanover | not published | $139.19 – $4,344.93 |
| UPMC Mercy | Pittsburgh | not published | $341.55 – $2,401.81 |
| UPMC Presbyterian | Pittsburgh | not published | $127.50 – $2,462.18 |