Incision of tongue fold at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
not published by hospital
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.
not published by hospital
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.
$47.25 with Aetna vs $1,714.50 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 | $47.25 | — |
| Geisinger | Medicaid | $62.55 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $67.86 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $76.69 | — |
| UPMC Work Partners | Workers Comp | $144.94 | — |
| BCBS of Western NY | Medicare Advantage | $771.51 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $885.30 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $885.30 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $1,078.06 | — |
| Highmark BCBS of PA | Managed Care | $1,078.06 | — |
| UPMC Health Plan | CHIP | $1,714.50 | — |
| Aetna | Commercial | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Incision of tongue fold at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,464.80 | $45.00 – $3,286.40 |
| UPMC Hamot | Erie | $3,333.00 | $49.50 – $2,053.97 |
| Uniontown Hospital | Uniontown | $1,634.50 | $49.50 – $3,123.56 |
| UPMC Northwest | Seneca | not published | $49.50 – $1,482.83 |
| UPMC Somerset | Somerset | not published | $49.50 – $1,412.22 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $1,430.62 – $5,627.00 |
| WellSpan Gettysburg Hospital | Gettysburg | not published | $970.00 – $1,101.92 |