Bone biopsy open superficial at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$515.40
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.
$859.00
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.
$99.75 with Aetna vs $2,298.13 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 | $99.75 | ↓ -81% |
| Geisinger | Medicaid | $132.04 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $143.26 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $161.90 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $213.72 | ↓ -59% |
| AmeriHealth Caritas | Medicare | $215.88 | ↓ -58% |
| UPMC Health Plan | Managed Medicare | $215.88 | ↓ -58% |
| Humana | Medicare | $218.04 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $221.28 | ↓ -57% |
| AmeriHealth Caritas | Medicaid | $221.28 | ↓ -57% |
| UPMC Health Plan | Managed Medicaid | $223.59 | ↓ -57% |
| Cigna | Medicare | $226.67 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $233.15 | ↓ -55% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $233.15 | ↓ -55% |
| Aetna | Medicare | $235.16 | ↓ -54% |
| United Healthcare | Medicare | $240.52 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicaid | $308.40 | ↓ -40% |
| UPMC Work Partners | Workers Comp | $463.23 | ↓ -10% |
| UPMC Health Plan | Commercial | $539.70 | ↑ +5% |
| Geisinger | Commercial | $578.25 | ↑ +12% |
| InterGroup | PPO | $616.80 | ↑ +20% |
| Humana | Commercial | $616.80 | ↑ +20% |
| Galaxy Health Plan | Commercial | $616.80 | ↑ +20% |
| Multiplan | Worker's Compensation | $616.80 | ↑ +20% |
| Multiplan | PPO/Auto | $616.80 | ↑ +20% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $619.94 | ↑ +20% |
| Highmark BCBS of PA | Managed Care - Social Mission | $619.94 | ↑ +20% |
| Aetna | Commercial | $632.22 | ↑ +23% |
| Highmark BCBS of PA | Managed Care | $754.92 | ↑ +46% |
| Highmark BCBS of PA | Commercial - Indemnity | $754.92 | ↑ +46% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +102% |
| UPMC Health Plan | CHIP | $2,298.13 | ↑ +346% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Bone biopsy open superficial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,980.80 | $120.65 – $8,472.80 |
| UPMC Hamot | Erie | $4,461.00 | $104.50 – $3,968.58 |
| UPMC Hanover | Hanover | $5,980.80 | $120.65 – $4,374.59 |
| UPMC Lititz | Lititz | $5,980.80 | $120.65 – $4,398.21 |
| UPMC Magee | Pittsburgh | $3,453.60 | $104.50 – $2,946.91 |
| UPMC Passavant-McCandless | Pittsburgh | $5,396.40 | $104.50 – $3,001.48 |
| UPMC Wellsboro | Wellsboro | $5,752.80 | $104.50 – $1,077.76 |
| Uniontown Hospital | Uniontown | $2,317.50 | $104.50 – $5,847.63 |