Incision tendon sheath at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$748.20
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.
$1,247.00
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.
$210.00 with Aetna vs $3,168.38 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $210.00 | ↓ -72% |
| Geisinger | Medicaid | $277.98 | ↓ -63% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $301.60 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $340.84 | ↓ -54% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $345.67 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $349.16 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $349.16 | ↓ -53% |
| Humana | Medicare | $352.65 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $357.89 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $357.89 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $361.63 | ↓ -52% |
| Cigna | Medicare | $366.62 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $377.09 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $377.09 | ↓ -50% |
| Aetna | Medicare | $380.33 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $498.80 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $737.06 | ↓ -1% |
| UPMC Health Plan | Commercial | $872.90 | ↑ +17% |
| Geisinger | Commercial | $935.25 | ↑ +25% |
| InterGroup | PPO | $997.60 | ↑ +33% |
| Humana | Commercial | $997.60 | ↑ +33% |
| Galaxy Health Plan | Commercial | $997.60 | ↑ +33% |
| Multiplan | Worker's Compensation | $997.60 | ↑ +33% |
| Multiplan | PPO/Auto | $997.60 | ↑ +33% |
| Aetna | Commercial | $1,022.54 | ↑ +37% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +39% |
| UPMC Health Plan | CHIP | $2,299.58 | ↑ +207% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,601.87 | ↑ +248% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,601.87 | ↑ +248% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,168.38 | ↑ +323% |
| Highmark BCBS of PA | Managed Care | $3,168.38 | ↑ +323% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Incision tendon sheath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $4,104.60 | $220.00 – $2,219.16 |
| UPMC Mercy | Pittsburgh | $4,866.00 | $220.00 – $1,678.38 |
| UPMC Passavant-McCandless | Pittsburgh | $3,771.00 | $220.00 – $1,678.38 |
| UPMC Presbyterian | Pittsburgh | $5,031.60 | $220.00 – $1,678.38 |
| Uniontown Hospital | Uniontown | $2,473.00 | $205.80 – $3,237.13 |
| UPMC Altoona | Altoona | not published | $200.00 – $1,647.86 |
| UPMC Bedford | Everett | not published | $210.00 – $1,647.86 |
| UPMC Carlisle | Carlisle | not published | $254.00 – $2,449.57 |