Sp bone agrft struct add-on at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$249.60
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.
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What you pay up front if you don't use insurance.
$416.00
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.
$51.56 with Highmark BCBS of PA vs $1,041.88 with BCBS of Western NY — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $51.56 | ↓ -79% |
| United Healthcare | Medicare | $52.08 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $52.08 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $52.08 | ↓ -79% |
| Humana | Medicare | $52.60 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $53.38 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $53.38 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $53.94 | ↓ -78% |
| Cigna | Medicare | $54.68 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $56.25 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $56.25 | ↓ -77% |
| Aetna | Medicare | $56.73 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $74.40 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $102.30 | ↓ -59% |
| Geisinger | Medicaid | $102.30 | ↓ -59% |
| UPMC Health Plan | Commercial | $130.20 | ↓ -48% |
| Geisinger | Commercial | $139.50 | ↓ -44% |
| Multiplan | Worker's Compensation | $148.80 | ↓ -40% |
| InterGroup | PPO | $148.80 | ↓ -40% |
| Humana | Commercial | $148.80 | ↓ -40% |
| Galaxy Health Plan | Commercial | $148.80 | ↓ -40% |
| Multiplan | PPO/Auto | $148.80 | ↓ -40% |
| Aetna | Commercial | $152.52 | ↓ -39% |
| UPMC Work Partners | Workers Comp | $594.59 | ↑ +138% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $766.33 | ↑ +207% |
| Highmark BCBS of PA | Managed Care - Social Mission | $766.33 | ↑ +207% |
| Highmark BCBS of PA | Managed Care | $933.16 | ↑ +274% |
| Highmark BCBS of PA | Commercial - Indemnity | $933.16 | ↑ +274% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +317% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Sp bone agrft struct add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | not published | $348.60 – $594.59 |
| UPMC Hamot | Erie | not published | $348.60 – $645.07 |