Spinal bone allograftstructural 20931 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$202.80
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.
$338.00
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.
$41.58 with Highmark BCBS of PA vs $1,724.91 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $41.58 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $42.00 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $42.00 | ↓ -79% |
| United Healthcare | Medicare | $42.00 | ↓ -79% |
| Humana | Medicare | $42.42 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $43.05 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $43.05 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $43.50 | ↓ -79% |
| Cigna | Medicare | $44.10 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $45.36 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $45.36 | ↓ -78% |
| Aetna | Medicare | $45.75 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $60.00 | ↓ -70% |
| Geisinger | Medicaid | $82.50 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $82.50 | ↓ -59% |
| UPMC Health Plan | Commercial | $105.00 | ↓ -48% |
| Geisinger | Commercial | $112.50 | ↓ -45% |
| InterGroup | PPO | $120.00 | ↓ -41% |
| Humana | Commercial | $120.00 | ↓ -41% |
| Galaxy Health Plan | Commercial | $120.00 | ↓ -41% |
| Multiplan | Worker's Compensation | $120.00 | ↓ -41% |
| Multiplan | PPO/Auto | $120.00 | ↓ -41% |
| Aetna | Commercial | $123.00 | ↓ -39% |
| UPMC Work Partners | Workers Comp | $356.57 | ↑ +76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $488.50 | ↑ +141% |
| Highmark BCBS of PA | Managed Care - Social Mission | $488.50 | ↑ +141% |
| Highmark BCBS of PA | Managed Care | $594.87 | ↑ +193% |
| Highmark BCBS of PA | Commercial - Indemnity | $594.87 | ↑ +193% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +414% |
| UPMC Health Plan | CHIP | $1,724.91 | ↑ +751% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Spinal bone allograftstructural 20931 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | not published | $211.36 – $1,724.91 |
| UPMC Carlisle | Carlisle | not published | $89.09 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | not published | $89.09 – $23,763.60 |
| UPMC East | Monroeville | not published | $213.38 – $985.39 |
| UPMC Hamot | Erie | not published | $211.36 – $2,141.54 |
| UPMC Mercy | Pittsburgh | not published | $211.36 – $953.51 |
| UPMC Passavant-McCandless | Pittsburgh | not published | $213.38 – $961.24 |
| UPMC Presbyterian | Pittsburgh | not published | $81.61 – $977.47 |