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Carpal Tunnel Release Surgery at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$763.80
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.
$1,273.00
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.
$315.00 with Aetna vs $2,406.72 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 | $315.00 | ↓ -59% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $352.88 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $356.44 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $356.44 | ↓ -53% |
| Humana | Medicare | $360.00 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $365.35 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $365.35 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $369.17 | ↓ -52% |
| Cigna | Medicare | $374.26 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $384.96 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $384.96 | ↓ -50% |
| Aetna | Medicare | $388.26 | ↓ -49% |
| Geisinger | Medicaid | $416.97 | ↓ -45% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $452.40 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicaid | $509.20 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $511.26 | ↓ -33% |
| UPMC Health Plan | Commercial | $891.10 | ↑ +17% |
| UPMC Work Partners | Workers Comp | $921.15 | ↑ +21% |
| Geisinger | Commercial | $954.75 | ↑ +25% |
| Galaxy Health Plan | Commercial | $1,018.40 | ↑ +33% |
| Humana | Commercial | $1,018.40 | ↑ +33% |
| InterGroup | PPO | $1,018.40 | ↑ +33% |
| Multiplan | PPO/Auto | $1,018.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,018.40 | ↑ +33% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +36% |
| Aetna | Commercial | $1,043.86 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,976.40 | ↑ +159% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,976.40 | ↑ +159% |
| UPMC Health Plan | CHIP | $2,299.19 | ↑ +201% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,406.72 | ↑ +215% |
| Highmark BCBS of PA | Managed Care | $2,406.72 | ↑ +215% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Carpal Tunnel Release Surgery at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,958.20 | $330.00 – $5,607.45 |
| UPMC Horizon-Greenville | Greenville | $3,255.60 | $330.00 – $4,612.10 |
| UPMC Kane | Kane | $1,610.40 | $330.00 – $2,147.20 |
| UPMC Magee | Pittsburgh | $3,572.40 | $330.00 – $5,477.68 |
| UPMC Mercy | Pittsburgh | $4,037.40 | $330.00 – $2,299.50 |
| UPMC St. Margaret | Pittsburgh | $4,170.00 | $330.00 – $5,907.50 |
| UPMC Williamsport | Williamsport | $4,530.60 | $330.00 – $6,040.80 |
| UPMC East | Monroeville | not published | $330.00 – $2,047.90 |