Exc sq tum/neck/ant thorax 3cm/> 21552 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,498.20
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.
$2,497.00
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.
$332.36 with Highmark BCBS of PA vs $4,979.18 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $332.36 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $335.72 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $335.72 | ↓ -78% |
| Humana | Medicare | $339.08 | ↓ -77% |
| AmeriHealth Caritas | Medicaid | $344.11 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $344.11 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $347.71 | ↓ -77% |
| Cigna | Medicare | $352.51 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $362.58 | ↓ -76% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $362.58 | ↓ -76% |
| Aetna | Medicare | $365.69 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $479.60 | ↓ -68% |
| Geisinger | Medicaid | $659.45 | ↓ -56% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $659.45 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $660.21 | ↓ -56% |
| United Healthcare | Medicare | $699.16 | ↓ -53% |
| UPMC Health Plan | Commercial | $839.30 | ↓ -44% |
| Geisinger | Commercial | $899.25 | ↓ -40% |
| InterGroup | PPO | $959.20 | ↓ -36% |
| Humana | Commercial | $959.20 | ↓ -36% |
| Galaxy Health Plan | Commercial | $959.20 | ↓ -36% |
| Multiplan | Worker's Compensation | $959.20 | ↓ -36% |
| Multiplan | PPO/Auto | $959.20 | ↓ -36% |
| Aetna | Commercial | $983.18 | ↓ -34% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,989.93 | ↑ +33% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,989.93 | ↑ +33% |
| Highmark BCBS of PA | Managed Care | $2,423.20 | ↑ +62% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,423.20 | ↑ +62% |
| UPMC Health Plan | CHIP | $4,979.18 | ↑ +232% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Exc sq tum/neck/ant thorax 3cm/> 21552 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $1,164.60 | $690.92 – $7,348.95 |
| UPMC Somerset | Somerset | $1,164.60 | $424.83 – $2,728.62 |
| Uniontown Hospital | Uniontown | $556.33 | $205.80 – $5,847.63 |
| UPMC Altoona | Altoona | not published | $660.21 – $2,946.91 |
| UPMC Carlisle | Carlisle | not published | $690.92 – $4,979.18 |
| UPMC East | Monroeville | not published | $660.21 – $3,001.48 |
| UPMC Hamot | Erie | not published | $660.21 – $3,968.58 |
| UPMC Northwest | Seneca | not published | $660.21 – $2,946.91 |