Ultrasound prostate/transrectal at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$301.80
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.
$503.00
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.
$91.07 with Aetna vs $688.67 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 | $91.07 | ↓ -70% |
| Geisinger | Medicaid | $120.55 | ↓ -60% |
| BCBS of Western NY | Medicare Advantage | $129.47 | ↓ -57% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $130.79 | ↓ -57% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $139.43 | ↓ -54% |
| United Healthcare | Medicare | $140.84 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $140.84 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $140.84 | ↓ -53% |
| Humana | Medicare | $142.25 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $144.36 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $144.36 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $145.87 | ↓ -52% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $147.81 | ↓ -51% |
| Cigna | Medicare | $147.88 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $152.11 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $152.11 | ↓ -50% |
| Aetna | Medicare | $153.41 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $201.20 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $217.75 | ↓ -28% |
| United Healthcare | Commercial | $270.00 | ↓ -11% |
| UPMC Health Plan | CHIP | $335.05 | ↑ +11% |
| UPMC Health Plan | Commercial | $352.10 | ↑ +17% |
| Geisinger | Commercial | $377.25 | ↑ +25% |
| Aetna | Commercial | $401.04 | ↑ +33% |
| InterGroup | PPO | $402.40 | ↑ +33% |
| Humana | Commercial | $402.40 | ↑ +33% |
| Galaxy Health Plan | Commercial | $402.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $402.40 | ↑ +33% |
| Multiplan | PPO/Auto | $402.40 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $565.54 | ↑ +87% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $565.54 | ↑ +87% |
| Highmark BCBS of PA | Commercial - Indemnity | $688.67 | ↑ +128% |
| Highmark BCBS of PA | Managed Care | $688.67 | ↑ +128% |
Visitor-reported prices
Comments
Ultrasound prostate/transrectal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $723.60 | $54.15 – $964.80 |
| UPMC Carlisle | Carlisle | $394.20 | $70.94 – $558.45 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $37.40 – $335.05 |
| UPMC East | Monroeville | $584.40 | $95.40 – $779.20 |
| UPMC Hamot | Erie | $1,177.80 | $95.40 – $236.96 |
| UPMC Northwest | Seneca | $354.00 | $91.94 – $220.76 |
| UPMC Hanover | Hanover | $394.20 | $70.94 – $231.03 |
| UPMC Horizon-Greenville | Greenville | $1,126.20 | $90.77 – $220.76 |