Cap nerve 2x15mm at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$3,820.20
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.
$6,367.00
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.
$798.76 with Health Partners Plans (Jefferson Health Plan) vs $3,704.74 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $798.76 | ↓ -79% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,165.35 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $1,177.12 | ↓ -69% |
| UPMC Health Plan | Managed Medicare | $1,177.12 | ↓ -69% |
| United Healthcare | Medicare | $1,177.12 | ↓ -69% |
| Humana | Medicare | $1,188.89 | ↓ -69% |
| AmeriHealth Caritas | Medicaid | $1,206.55 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $1,206.55 | ↓ -68% |
| Cigna | Medicare | $1,235.98 | ↓ -68% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $1,271.29 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $1,271.29 | ↓ -67% |
| Aetna | Medicare | $1,282.22 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,387.32 | ↓ -64% |
| Geisinger | Medicaid | $1,387.32 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,513.44 | ↓ -60% |
| United Healthcare | Commercial | $2,312.20 | ↓ -39% |
| UPMC Health Plan | Managed Medicaid | $2,606.48 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,942.80 | ↓ -23% |
| Geisinger | Commercial | $3,153.00 | ↓ -17% |
| Galaxy Health Plan | Commercial | $3,363.20 | ↓ -12% |
| InterGroup | PPO | $3,363.20 | ↓ -12% |
| Humana | Commercial | $3,363.20 | ↓ -12% |
| Multiplan | Worker's Compensation | $3,363.20 | ↓ -12% |
| Multiplan | PPO/Auto | $3,363.20 | ↓ -12% |
| Aetna | Commercial | $3,447.28 | ↓ -10% |
| UPMC Health Plan | CHIP | $3,704.74 | ↓ -3% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| BCBS of Western NY | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Cap nerve 2x15mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,388.80 | $46.93 – $3,704.74 |
| UPMC East | Monroeville | $3,131.40 | $118.37 – $3,704.74 |
| UPMC Hamot | Erie | $11,497.80 | $499.63 – $499.63 |
| UPMC Kane | Kane | $1,470.00 | $2,728.07 – $2,728.07 |
| UPMC Magee | Pittsburgh | $18,384.00 | $449.01 – $3,704.74 |
| UPMC Mercy | Pittsburgh | $5,785.80 | $499.63 – $2,925.42 |
| UPMC Passavant-McCandless | Pittsburgh | $8,136.00 | $504.38 – $5,376.04 |
| UPMC Presbyterian | Pittsburgh | $10,847.40 | $504.38 – $5,989.90 |