Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$233.40
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.
$389.00
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.
$39.38 with Aetna 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $39.38 | ↓ -83% |
| Geisinger | Medicaid | $52.12 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $56.55 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $63.91 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $107.83 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $108.92 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $108.92 | ↓ -53% |
| Humana | Medicare | $110.01 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $111.64 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $111.64 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $112.81 | ↓ -52% |
| Cigna | Medicare | $114.37 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $117.63 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $117.63 | ↓ -50% |
| Aetna | Medicare | $118.64 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $155.60 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $248.90 | ↑ +7% |
| UPMC Health Plan | Commercial | $272.30 | ↑ +17% |
| Geisinger | Commercial | $291.75 | ↑ +25% |
| InterGroup | PPO | $311.20 | ↑ +33% |
| Humana | Commercial | $311.20 | ↑ +33% |
| Galaxy Health Plan | Commercial | $311.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $311.20 | ↑ +33% |
| Multiplan | PPO/Auto | $311.20 | ↑ +33% |
| Aetna | Commercial | $318.98 | ↑ +37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $790.10 | ↑ +239% |
| Highmark BCBS of PA | Managed Care - Social Mission | $790.10 | ↑ +239% |
| Highmark BCBS of PA | Managed Care | $962.12 | ↑ +312% |
| Highmark BCBS of PA | Commercial - Indemnity | $962.12 | ↑ +312% |
| UPMC Health Plan | CHIP | $1,732.25 | ↑ +642% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +897% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,515.40 | $37.50 – $4,687.20 |
| UPMC Carlisle | Carlisle | $2,910.60 | $47.62 – $4,123.35 |
| UPMC Community Osteopathic | Harrisburg | $348.00 | $50.62 – $3,135.30 |
| UPMC Hanover | Hanover | $2,910.60 | $47.62 – $2,476.51 |
| UPMC Magee | Pittsburgh | $2,427.00 | $41.25 – $1,668.28 |
| UPMC McKeesport | Mckeesport | $2,829.60 | $41.25 – $1,699.17 |
| UPMC Mercy | Pittsburgh | $2,427.00 | $41.25 – $1,699.17 |
| UPMC Presbyterian | Pittsburgh | $2,961.60 | $41.25 – $1,699.17 |