Ultrasound scrotum and contents at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$249.00
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.
?
What you pay up front if you don't use insurance.
$415.00
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.
$77.70 with Aetna vs $465.63 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 | $77.70 | ↓ -69% |
| BCBS of Western NY | Medicare Advantage | $100.97 | ↓ -59% |
| Geisinger | Medicaid | $102.85 | ↓ -59% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $111.59 | ↓ -55% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $115.04 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $116.20 | ↓ -53% |
| United Healthcare | Medicare | $116.20 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $116.20 | ↓ -53% |
| Humana | Medicare | $117.36 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $119.11 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $119.11 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $120.35 | ↓ -52% |
| Cigna | Medicare | $122.01 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $125.50 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $125.50 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $126.11 | ↓ -49% |
| Aetna | Medicare | $126.58 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $166.00 | ↓ -33% |
| Aetna | Commercial | $205.11 | ↓ -18% |
| UPMC Work Partners | Workers Comp | $213.89 | ↓ -14% |
| United Healthcare | Commercial | $270.00 | ↑ +8% |
| UPMC Health Plan | Commercial | $290.50 | ↑ +17% |
| Geisinger | Commercial | $311.25 | ↑ +25% |
| UPMC Health Plan | CHIP | $322.84 | ↑ +30% |
| InterGroup | PPO | $332.00 | ↑ +33% |
| Humana | Commercial | $332.00 | ↑ +33% |
| Galaxy Health Plan | Commercial | $332.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $332.00 | ↑ +33% |
| Multiplan | PPO/Auto | $332.00 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $382.39 | ↑ +54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $382.39 | ↑ +54% |
| Highmark BCBS of PA | Commercial - Indemnity | $465.63 | ↑ +87% |
| Highmark BCBS of PA | Managed Care | $465.63 | ↑ +87% |
Visitor-reported prices
Comments
Ultrasound scrotum and contents at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $556.80 | $44.00 – $742.40 |
| UPMC Bedford | Everett | $299.40 | $36.58 – $449.10 |
| UPMC Carlisle | Carlisle | $394.20 | $57.64 – $558.45 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $34.40 – $322.84 |
| UPMC East | Monroeville | $966.00 | $81.40 – $1,288.00 |
| UPMC Hamot | Erie | $697.80 | $74.44 – $232.72 |
| UPMC Northwest | Seneca | $490.20 | $81.40 – $219.64 |
| UPMC Hanover | Hanover | $394.20 | $57.64 – $229.85 |