Ear canal biopsy 69105 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$94.80
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.
$158.00
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.
$19.40 with Highmark BCBS of PA vs $2,325.85 with BCBS of Western NY — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $19.40 | ↓ -80% |
| United Healthcare | Medicare | $19.60 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $19.60 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $19.60 | ↓ -79% |
| Humana | Medicare | $19.80 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $20.09 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $20.09 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $20.30 | ↓ -79% |
| Cigna | Medicare | $20.58 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $21.17 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $21.17 | ↓ -78% |
| Aetna | Medicare | $21.35 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.00 | ↓ -70% |
| UPMC Health Plan | Commercial | $49.00 | ↓ -48% |
| Geisinger | Commercial | $52.50 | ↓ -45% |
| InterGroup | PPO | $56.00 | ↓ -41% |
| Humana | Commercial | $56.00 | ↓ -41% |
| Galaxy Health Plan | Commercial | $56.00 | ↓ -41% |
| Multiplan | Worker's Compensation | $56.00 | ↓ -41% |
| Multiplan | PPO/Auto | $56.00 | ↓ -41% |
| Aetna | Commercial | $57.40 | ↓ -39% |
| Aetna | CHIP/Medicaid | $59.07 | ↓ -38% |
| Geisinger | Medicaid | $78.20 | ↓ -18% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $84.84 | ↓ -11% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $95.88 | ↑ +1% |
| UPMC Work Partners | Workers Comp | $175.33 | ↑ +85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $638.41 | ↑ +573% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $638.41 | ↑ +573% |
| Highmark BCBS of PA | Managed Care | $777.42 | ↑ +720% |
| Highmark BCBS of PA | Commercial - Indemnity | $777.42 | ↑ +720% |
| UPMC Health Plan | CHIP | $884.97 | ↑ +834% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +2353% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ear canal biopsy 69105 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,056.60 | $61.89 – $1,525.20 |
| UPMC Mercy | Pittsburgh | $1,211.40 | $61.89 – $1,553.44 |
| UPMC Passavant-McCandless | Pittsburgh | $1,306.80 | $61.89 – $1,553.44 |
| UPMC Presbyterian | Pittsburgh | $1,795.20 | $61.89 – $1,553.44 |
| UPMC Williamsport | Williamsport | $1,353.00 | $61.89 – $1,511.08 |
| Uniontown Hospital | Uniontown | $818.50 | $1,503.88 – $3,504.04 |