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Upper Back (Thoracic Spine) MRI (with and without contrast) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,926.00
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.
$3,210.00
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.
$355.95 with Aetna vs $3,833.37 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $355.95 | ↓ -82% |
| BCBS of Western NY | Medicare Advantage | $379.62 | ↓ -80% |
| Geisinger | Medicaid | $471.18 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $511.21 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $577.72 | ↓ -70% |
| Aetna | Commercial | $670.61 | ↓ -65% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $889.81 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $898.80 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $898.80 | ↓ -53% |
| United Healthcare | Medicare | $898.80 | ↓ -53% |
| Humana | Medicare | $907.79 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $921.27 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $921.27 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $930.90 | ↓ -52% |
| Cigna | Medicare | $943.74 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $970.70 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $970.70 | ↓ -50% |
| Aetna | Medicare | $979.05 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,219.00 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,219.00 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,284.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,484.39 | ↓ -23% |
| Highmark BCBS of PA | Managed Care | $1,484.39 | ↓ -23% |
| United Healthcare | Commercial | $1,977.00 | ↑ +3% |
| UPMC Health Plan | Commercial | $2,247.00 | ↑ +17% |
| UPMC Work Partners | Workers Comp | $2,405.45 | ↑ +25% |
| Geisinger | Commercial | $2,407.50 | ↑ +25% |
| Galaxy Health Plan | Commercial | $2,568.00 | ↑ +33% |
| Humana | Commercial | $2,568.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $2,568.00 | ↑ +33% |
| Multiplan | PPO/Auto | $2,568.00 | ↑ +33% |
| InterGroup | PPO | $2,568.00 | ↑ +33% |
| UPMC Health Plan | CHIP | $3,833.37 | ↑ +99% |
Visitor-reported prices
Comments
Upper Back (Thoracic Spine) MRI (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $316.41 – $8,499.15 |
| UPMC East | Monroeville | $6,218.40 | $341.40 – $8,291.20 |
| UPMC Hamot | Erie | $2,562.60 | $281.64 – $2,989.70 |
| UPMC Horizon-Greenville | Greenville | $3,601.80 | $304.83 – $5,102.55 |
| UPMC Jameson | New Castle | $2,946.00 | $309.35 – $4,320.80 |
| UPMC McKeesport | Mckeesport | $6,049.20 | $315.59 – $8,569.70 |
| UPMC Carlisle | Carlisle | $2,713.80 | $338.22 – $3,844.55 |
| UPMC Bedford | Everett | $2,916.00 | $122.85 – $4,374.00 |