Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,197.00
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.
$1,995.00
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.
$256.20 with Aetna vs $4,125.20 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $256.20 | ↓ -79% |
| Geisinger | Medicaid | $339.14 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $367.95 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $415.82 | ↓ -65% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $553.01 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $558.60 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $558.60 | ↓ -53% |
| Humana | Medicare | $564.19 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $572.57 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $572.57 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $578.55 | ↓ -52% |
| Cigna | Medicare | $586.53 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $603.29 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $603.29 | ↓ -50% |
| Aetna | Medicare | $608.48 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $798.00 | ↓ -33% |
| BCBS of Western NY | Medicare Advantage | $1,192.92 | ↓ -0% |
| UPMC Health Plan | Commercial | $1,396.50 | ↑ +17% |
| Geisinger | Commercial | $1,496.25 | ↑ +25% |
| InterGroup | PPO | $1,596.00 | ↑ +33% |
| Humana | Commercial | $1,596.00 | ↑ +33% |
| Galaxy Health Plan | Commercial | $1,596.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,596.00 | ↑ +33% |
| Multiplan | PPO/Auto | $1,596.00 | ↑ +33% |
| Aetna | Commercial | $1,635.90 | ↑ +37% |
| UPMC Work Partners | Workers Comp | $1,730.23 | ↑ +45% |
| UPMC Health Plan | CHIP | $2,638.61 | ↑ +120% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,387.61 | ↑ +183% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,387.61 | ↑ +183% |
| Highmark BCBS of PA | Commercial - Indemnity | $4,125.20 | ↑ +245% |
| Highmark BCBS of PA | Managed Care | $4,125.20 | ↑ +245% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $3,559.20 | $268.40 – $2,536.45 |
| UPMC Presbyterian | Pittsburgh | $5,214.00 | $268.40 – $2,033.57 |
| UPMC St. Margaret | Pittsburgh | $3,955.80 | $268.40 – $1,918.35 |
| UPMC Williamsport | Williamsport | $5,275.20 | $268.40 – $2,042.36 |
| Uniontown Hospital | Uniontown | $2,371.50 | $205.80 – $4,153.69 |
| UPMC Altoona | Altoona | not published | $244.00 – $1,883.47 |
| UPMC Bedford | Everett | not published | $256.20 – $1,883.47 |
| UPMC Carlisle | Carlisle | not published | $309.88 – $2,799.81 |