Sigmoidoscopy/submucosal injection 45335 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$180.60
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.
$301.00
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.
$82.58 with Aetna vs $1,656.82 with UPMC Health Plan — 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 | $82.58 | ↓ -54% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $83.44 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $84.28 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $84.28 | ↓ -53% |
| Humana | Medicare | $85.12 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $86.39 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $86.39 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $87.29 | ↓ -52% |
| Cigna | Medicare | $88.49 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $91.02 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $91.02 | ↓ -50% |
| Aetna | Medicare | $91.81 | ↓ -49% |
| Geisinger | Medicaid | $109.32 | ↓ -39% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $118.60 | ↓ -34% |
| Highmark Wholecare (prev Gateway) | Medicaid | $120.40 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $134.04 | ↓ -26% |
| UPMC Health Plan | Commercial | $210.70 | ↑ +17% |
| Geisinger | Commercial | $225.75 | ↑ +25% |
| InterGroup | PPO | $240.80 | ↑ +33% |
| Humana | Commercial | $240.80 | ↑ +33% |
| Galaxy Health Plan | Commercial | $240.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $240.80 | ↑ +33% |
| Multiplan | PPO/Auto | $240.80 | ↑ +33% |
| Aetna | Commercial | $246.82 | ↑ +37% |
| UPMC Work Partners | Workers Comp | $264.33 | ↑ +46% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↑ +327% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,273.29 | ↑ +605% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,273.29 | ↑ +605% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,550.52 | ↑ +759% |
| Highmark BCBS of PA | Managed Care | $1,550.52 | ↑ +759% |
| UPMC Health Plan | CHIP | $1,656.82 | ↑ +817% |
Visitor-reported prices
Comments
Sigmoidoscopy/submucosal injection 45335 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,459.20 | $78.65 – $1,945.60 |
| UPMC Bedford | Everett | $4,209.00 | $82.58 – $6,313.50 |
| UPMC East | Monroeville | $2,976.60 | $86.52 – $3,968.80 |
| UPMC Hamot | Erie | $1,558.80 | $86.52 – $1,264.19 |
| UPMC Horizon-Greenville | Greenville | $2,907.00 | $86.52 – $1,140.40 |
| UPMC Jameson | New Castle | $2,907.00 | $86.52 – $1,173.43 |
| UPMC Magee | Pittsburgh | $2,232.00 | $86.52 – $938.75 |
| UPMC McKeesport | Mckeesport | $2,889.00 | $86.52 – $956.13 |