Ghs inj tendon origin/insertion at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$64.20
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.
?
What you pay up front if you don't use insurance.
$107.00
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.
$14.14 with Highmark BCBS of PA vs $794.58 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $14.14 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $14.28 | ↓ -78% |
| United Healthcare | Medicare | $14.28 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $14.28 | ↓ -78% |
| Humana | Medicare | $14.42 | ↓ -78% |
| AmeriHealth Caritas | Medicaid | $14.64 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $14.64 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $14.79 | ↓ -77% |
| Cigna | Medicare | $14.99 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $15.42 | ↓ -76% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $15.42 | ↓ -76% |
| Aetna | Medicare | $15.55 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $20.40 | ↓ -68% |
| UPMC Health Plan | Commercial | $35.70 | ↓ -44% |
| Geisinger | Commercial | $38.25 | ↓ -40% |
| Aetna | CHIP/Medicaid | $40.70 | ↓ -37% |
| InterGroup | PPO | $40.80 | ↓ -36% |
| Humana | Commercial | $40.80 | ↓ -36% |
| Galaxy Health Plan | Commercial | $40.80 | ↓ -36% |
| Multiplan | Worker's Compensation | $40.80 | ↓ -36% |
| Multiplan | PPO/Auto | $40.80 | ↓ -36% |
| Aetna | Commercial | $41.82 | ↓ -35% |
| Geisinger | Medicaid | $53.87 | ↓ -16% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $58.45 | ↓ -9% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $66.05 | ↑ +3% |
| BCBS of Western NY | Medicare Advantage | $98.03 | ↑ +53% |
| UPMC Work Partners | Workers Comp | $116.19 | ↑ +81% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $255.65 | ↑ +298% |
| Highmark BCBS of PA | Managed Care - Social Mission | $255.65 | ↑ +298% |
| Highmark BCBS of PA | Managed Care | $311.31 | ↑ +385% |
| Highmark BCBS of PA | Commercial - Indemnity | $311.31 | ↑ +385% |
| UPMC Health Plan | CHIP | $794.58 | ↑ +1138% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ghs inj tendon origin/insertion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $158.40 | $38.76 – $211.20 |
| UPMC Bedford | Everett | $360.60 | $40.70 – $540.90 |
| UPMC Horizon-Greenville | Greenville | $360.60 | $42.64 – $303.94 |
| UPMC Kane | Kane | $390.60 | $42.64 – $243.03 |
| UPMC Magee | Pittsburgh | $478.80 | $42.64 – $303.94 |
| UPMC McKeesport | Mckeesport | $648.00 | $42.64 – $309.57 |
| UPMC Mercy | Pittsburgh | $441.60 | $42.64 – $309.57 |
| UPMC Passavant-McCandless | Pittsburgh | $481.80 | $42.64 – $309.57 |