X-ray optic foramina at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$123.00
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.
$205.00
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.
$32.18 with Aetna vs $177.04 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 | $32.18 | ↓ -74% |
| BCBS of Western NY | Medicare Advantage | $36.01 | ↓ -71% |
| Geisinger | Medicaid | $42.60 | ↓ -65% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $46.22 | ↓ -62% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $52.23 | ↓ -58% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $56.83 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $57.40 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $57.40 | ↓ -53% |
| United Healthcare | Medicare | $57.40 | ↓ -53% |
| Humana | Medicare | $57.97 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $58.84 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $58.84 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $59.45 | ↓ -52% |
| Cigna | Medicare | $60.27 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $61.99 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $61.99 | ↓ -50% |
| Aetna | Medicare | $62.52 | ↓ -49% |
| Aetna | Commercial | $76.68 | ↓ -38% |
| UPMC Work Partners | Workers Comp | $80.43 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicaid | $82.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $114.97 | ↓ -7% |
| UPMC Health Plan | Commercial | $143.50 | ↑ +17% |
| United Healthcare | Commercial | $143.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $145.39 | ↑ +18% |
| Highmark BCBS of PA | Managed Care - Social Mission | $145.39 | ↑ +18% |
| Geisinger | Commercial | $153.75 | ↑ +25% |
| Galaxy Health Plan | Commercial | $164.00 | ↑ +33% |
| InterGroup | PPO | $164.00 | ↑ +33% |
| Multiplan | PPO/Auto | $164.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $164.00 | ↑ +33% |
| Humana | Commercial | $164.00 | ↑ +33% |
| Highmark BCBS of PA | Managed Care | $177.04 | ↑ +44% |
| Highmark BCBS of PA | Commercial - Indemnity | $177.04 | ↑ +44% |
Visitor-reported prices
Comments
X-ray optic foramina at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $188.40 | $27.51 – $266.90 |
| UPMC Community Osteopathic | Harrisburg | $188.40 | $27.51 – $266.90 |
| UPMC Hanover | Hanover | $188.40 | $27.51 – $134.58 |
| UPMC Kane | Kane | $128.40 | $33.72 – $110.49 |
| UPMC Lititz | Lititz | $188.40 | $27.51 – $135.31 |
| UPMC Memorial | York | $188.40 | $27.51 – $149.78 |
| UPMC Muncy | Muncy | $292.80 | $26.88 – $93.08 |
| UPMC Somerset | Somerset | $188.40 | $24.15 – $83.95 |