Testicular imaging w/vasc flow at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$703.80
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.
?
What you pay up front if you don't use insurance.
$1,173.00
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.
$134.44 with Aetna vs $1,088.60 with Highmark BCBS of PA — 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 | $134.44 | ↓ -81% |
| Geisinger | Medicaid | $177.96 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $193.08 | ↓ -73% |
| BCBS of Western NY | Medicare Advantage | $214.39 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $218.21 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $325.16 | ↓ -54% |
| United Healthcare | Medicare | $328.44 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $328.44 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $328.44 | ↓ -53% |
| Humana | Medicare | $331.72 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $336.65 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $336.65 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $340.17 | ↓ -52% |
| Cigna | Medicare | $344.86 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $354.72 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $354.72 | ↓ -50% |
| Aetna | Medicare | $357.76 | ↓ -49% |
| Aetna | Commercial | $397.75 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $453.33 | ↓ -36% |
| Highmark Wholecare (prev Gateway) | Medicaid | $469.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $637.62 | ↓ -9% |
| United Healthcare | Commercial | $821.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $821.10 | ↑ +17% |
| Geisinger | Commercial | $879.75 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $893.98 | ↑ +27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $893.98 | ↑ +27% |
| InterGroup | PPO | $938.40 | ↑ +33% |
| Humana | Commercial | $938.40 | ↑ +33% |
| Galaxy Health Plan | Commercial | $938.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $938.40 | ↑ +33% |
| Multiplan | PPO/Auto | $938.40 | ↑ +33% |
| Highmark BCBS of PA | Managed Care | $1,088.60 | ↑ +55% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,088.60 | ↑ +55% |
Visitor-reported prices
Comments
Testicular imaging w/vasc flow at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,228.80 | $124.45 – $1,740.80 |
| UPMC Community Osteopathic | Harrisburg | $1,228.80 | $124.45 – $1,740.80 |
| UPMC Hamot | Erie | $815.40 | $140.84 – $546.54 |
| UPMC Hanover | Hanover | $1,228.80 | $124.45 – $614.19 |
| UPMC Kane | Kane | $492.00 | $140.84 – $679.38 |
| UPMC Lititz | Lititz | $1,228.80 | $124.45 – $617.50 |
| UPMC Memorial | York | $1,228.80 | $124.45 – $1,005.17 |
| UPMC Muncy | Muncy | $1,193.40 | $121.60 – $506.22 |