Incision of tendon sheath at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$787.80
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.
$1,313.00
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.
$231.53 with Aetna vs $2,636.03 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $231.53 | ↓ -71% |
| Geisinger | Medicaid | $306.47 | ↓ -61% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $332.51 | ↓ -58% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $363.96 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $367.64 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $367.64 | ↓ -53% |
| Humana | Medicare | $371.32 | ↓ -53% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $375.78 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $376.83 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $376.83 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $380.77 | ↓ -52% |
| Cigna | Medicare | $386.02 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $397.05 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $397.05 | ↓ -50% |
| Aetna | Medicare | $400.46 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $525.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $919.10 | ↑ +17% |
| UPMC Work Partners | Workers Comp | $952.33 | ↑ +21% |
| Geisinger | Commercial | $984.75 | ↑ +25% |
| InterGroup | PPO | $1,050.40 | ↑ +33% |
| Humana | Commercial | $1,050.40 | ↑ +33% |
| Galaxy Health Plan | Commercial | $1,050.40 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,050.40 | ↑ +33% |
| Multiplan | PPO/Auto | $1,050.40 | ↑ +33% |
| Aetna | Commercial | $1,076.66 | ↑ +37% |
| BCBS of Western NY | Medicare Advantage | $1,192.92 | ↑ +51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,545.33 | ↑ +96% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,545.33 | ↑ +96% |
| Highmark BCBS of PA | Managed Care | $1,881.79 | ↑ +139% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,881.79 | ↑ +139% |
| UPMC Health Plan | CHIP | $2,636.03 | ↑ +235% |
Visitor-reported prices
Comments
Incision of tendon sheath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $1,848.00 | $205.80 – $3,237.13 |
| UPMC Altoona | Altoona | not published | $220.50 – $1,647.86 |
| UPMC Carlisle | Carlisle | not published | $280.04 – $2,449.57 |
| UPMC Community Osteopathic | Harrisburg | not published | $297.68 – $5,805.45 |
| UPMC East | Monroeville | not published | $242.55 – $1,678.38 |
| UPMC Northwest | Seneca | not published | $242.55 – $1,602.09 |
| UPMC Hanover | Hanover | not published | $280.04 – $2,446.19 |
| UPMC Kane | Kane | not published | $242.55 – $1,469.08 |