Cystoscopy prostatic imp 1-3 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,266.60
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.
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What you pay up front if you don't use insurance.
$2,111.00
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.
$401.09 with Health Partners Plans (Jefferson Health Plan) vs $9,587.30 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $401.09 | ↓ -68% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $585.17 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $591.08 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $591.08 | ↓ -53% |
| United Healthcare | Medicare | $591.08 | ↓ -53% |
| Humana | Medicare | $596.99 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $605.86 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $605.86 | ↓ -52% |
| Cigna | Medicare | $620.63 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $638.37 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $638.37 | ↓ -50% |
| Aetna | Medicare | $643.86 | ↓ -49% |
| Geisinger | Medicaid | $696.63 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $696.63 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $759.96 | ↓ -40% |
| United Healthcare | Commercial | $1,161.05 | ↓ -8% |
| UPMC Health Plan | Managed Medicaid | $1,308.82 | ↑ +3% |
| UPMC Health Plan | Commercial | $1,477.70 | ↑ +17% |
| Geisinger | Commercial | $1,583.25 | ↑ +25% |
| InterGroup | PPO | $1,688.80 | ↑ +33% |
| Humana | Commercial | $1,688.80 | ↑ +33% |
| Galaxy Health Plan | Commercial | $1,688.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,688.80 | ↑ +33% |
| Multiplan | PPO/Auto | $1,688.80 | ↑ +33% |
| Aetna | Commercial | $1,731.02 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $7,873.09 | ↑ +522% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,873.09 | ↑ +522% |
| Highmark BCBS of PA | Managed Care | $9,587.30 | ↑ +657% |
| Highmark BCBS of PA | Commercial - Indemnity | $9,587.30 | ↑ +657% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| BCBS of Western NY | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy prostatic imp 1-3 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $6,010.20 | $2,469.43 – $5,234.35 |
| UPMC Muncy | Muncy | $5,953.80 | $3,671.46 – $3,671.46 |
| UPMC Presbyterian | Pittsburgh | $8,013.60 | $1,281.42 – $5,331.28 |
| Uniontown Hospital | Uniontown | $712.50 | $5,196.96 – $12,108.92 |
| UPMC Community Osteopathic | Harrisburg | not published | $3,757.51 – $5,400.71 |
| UPMC Northwest | Seneca | not published | $3,294.42 – $5,234.35 |
| UPMC Hanover | Hanover | not published | $3,757.51 – $7,770.21 |
| UPMC Memorial | York | not published | $1,034.56 – $7,799.49 |