Cystourethroscop/calib/dilat stric 52281 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$732.60
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.
$1,221.00
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.
$112.88 with Aetna vs $2,314.70 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 | $112.88 | ↓ -85% |
| Geisinger | Medicaid | $149.41 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $162.11 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $183.20 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $338.46 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $341.88 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $341.88 | ↓ -53% |
| Humana | Medicare | $345.30 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $350.43 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $350.43 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $354.09 | ↓ -52% |
| Cigna | Medicare | $358.97 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $369.23 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $369.23 | ↓ -50% |
| Aetna | Medicare | $372.40 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $414.95 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicaid | $488.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $854.70 | ↑ +17% |
| Geisinger | Commercial | $915.75 | ↑ +25% |
| InterGroup | PPO | $976.80 | ↑ +33% |
| Humana | Commercial | $976.80 | ↑ +33% |
| Galaxy Health Plan | Commercial | $976.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $976.80 | ↑ +33% |
| Multiplan | PPO/Auto | $976.80 | ↑ +33% |
| Aetna | Commercial | $1,001.22 | ↑ +37% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,432.19 | ↑ +95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,432.19 | ↑ +95% |
| Highmark BCBS of PA | Managed Care | $1,744.02 | ↑ +138% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,744.02 | ↑ +138% |
| UPMC Health Plan | CHIP | $2,314.70 | ↑ +216% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Cystourethroscop/calib/dilat stric 52281 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $5,175.60 | $112.88 – $7,763.40 |
| UPMC Carlisle | Carlisle | $2,428.80 | $136.53 – $3,440.80 |
| UPMC Community Osteopathic | Harrisburg | $2,428.80 | $136.53 – $2,314.70 |
| UPMC East | Monroeville | $3,824.40 | $118.25 – $5,099.20 |
| UPMC Hamot | Erie | $4,234.20 | $118.25 – $2,840.52 |
| UPMC Hanover | Hanover | $2,428.80 | $136.53 – $3,131.10 |
| UPMC Jameson | New Castle | $3,521.40 | $118.25 – $2,636.56 |
| UPMC Kane | Kane | $1,752.00 | $118.25 – $1,361.53 |