Biopsy, bone open deep at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,188.60
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.
$1,981.00
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.
$236.78 with Aetna vs $2,637.66 with UPMC Health Plan — 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 | $236.78 | ↓ -80% |
| Geisinger | Medicaid | $313.42 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $340.05 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $384.30 | ↓ -68% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $531.39 | ↓ -55% |
| AmeriHealth Caritas | Medicare | $536.76 | ↓ -55% |
| UPMC Health Plan | Managed Medicare | $536.76 | ↓ -55% |
| Humana | Medicare | $542.13 | ↓ -54% |
| AmeriHealth Caritas | Medicaid | $550.18 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $550.18 | ↓ -54% |
| United Healthcare | Medicare | $554.68 | ↓ -53% |
| UPMC Health Plan | Managed Medicaid | $555.93 | ↓ -53% |
| Cigna | Medicare | $563.60 | ↓ -53% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $579.70 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $579.70 | ↓ -51% |
| Aetna | Medicare | $584.68 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicaid | $766.80 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $1,041.31 | ↓ -12% |
| BCBS of Western NY | Medicare Advantage | $1,192.92 | ↑ +0% |
| UPMC Health Plan | Commercial | $1,341.90 | ↑ +13% |
| Geisinger | Commercial | $1,437.75 | ↑ +21% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,525.98 | ↑ +28% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,525.98 | ↑ +28% |
| Humana | Commercial | $1,533.60 | ↑ +29% |
| Multiplan | PPO/Auto | $1,533.60 | ↑ +29% |
| InterGroup | PPO | $1,533.60 | ↑ +29% |
| Galaxy Health Plan | Commercial | $1,533.60 | ↑ +29% |
| Multiplan | Worker's Compensation | $1,533.60 | ↑ +29% |
| Aetna | Commercial | $1,571.94 | ↑ +32% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,858.24 | ↑ +56% |
| Highmark BCBS of PA | Managed Care | $1,858.24 | ↑ +56% |
| UPMC Health Plan | CHIP | $2,637.66 | ↑ +122% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy, bone open deep at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,397.60 | $225.50 – $7,196.80 |
| UPMC Carlisle | Carlisle | $8,070.00 | $286.38 – $11,432.50 |
| UPMC Hamot | Erie | $4,663.20 | $248.05 – $3,968.58 |
| UPMC Hanover | Hanover | $8,070.00 | $286.38 – $4,374.59 |
| UPMC Magee | Pittsburgh | $3,961.20 | $248.05 – $2,946.91 |
| UPMC Mercy | Pittsburgh | $3,819.60 | $248.05 – $3,001.48 |
| UPMC Passavant-McCandless | Pittsburgh | $4,321.20 | $248.05 – $3,001.48 |
| UPMC Community Osteopathic | Harrisburg | not published | $304.43 – $5,805.45 |