healthcosts.net
Shoulder MRI (with contrast) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,384.20
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.
$2,307.00
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.
$375.92 with BCBS of Western NY vs $1,977.00 with United Healthcare — 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 |
|---|---|---|---|
| BCBS of Western NY | Medicare Advantage | $375.92 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $639.50 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $645.96 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $645.96 | ↓ -53% |
| United Healthcare | Medicare | $645.96 | ↓ -53% |
| Aetna | Commercial | $646.15 | ↓ -53% |
| Humana | Medicare | $652.42 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $662.11 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $662.11 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $669.03 | ↓ -52% |
| Cigna | Medicare | $678.26 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $697.64 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $697.64 | ↓ -50% |
| Aetna | Medicare | $703.63 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $922.80 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $1,109.81 | ↓ -20% |
| Geisinger | Medicaid | $1,268.85 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,268.85 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,352.01 | ↓ -2% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,352.01 | ↓ -2% |
| UPMC Health Plan | CHIP | $1,591.30 | ↑ +15% |
| UPMC Health Plan | Commercial | $1,614.90 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,646.35 | ↑ +19% |
| Highmark BCBS of PA | Managed Care | $1,646.35 | ↑ +19% |
| Geisinger | Commercial | $1,730.25 | ↑ +25% |
| Galaxy Health Plan | Commercial | $1,845.60 | ↑ +33% |
| Humana | Commercial | $1,845.60 | ↑ +33% |
| InterGroup | PPO | $1,845.60 | ↑ +33% |
| Multiplan | PPO/Auto | $1,845.60 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,845.60 | ↑ +33% |
| United Healthcare | Commercial | $1,977.00 | ↑ +43% |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,621.20 | $441.61 – $6,546.70 |
| UPMC East | Monroeville | $5,074.20 | $437.75 – $6,765.60 |
| UPMC Hamot | Erie | $1,948.80 | $201.09 – $2,273.60 |
| UPMC Horizon-Greenville | Greenville | $4,192.80 | $443.23 – $5,939.80 |
| UPMC Jameson | New Castle | $3,155.40 | $327.20 – $4,365.68 |
| UPMC Lititz | Lititz | $2,713.80 | $327.20 – $3,844.55 |
| UPMC McKeesport | Mckeesport | $4,936.20 | $449.34 – $6,992.95 |
| UPMC Altoona | Altoona | $2,119.20 | $425.00 – $2,825.60 |