Insert cath pleura without image at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$218.40
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.
$364.00
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.
$44.35 with Highmark BCBS of PA vs $3,932.75 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $44.35 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $44.80 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $44.80 | ↓ -79% |
| United Healthcare | Medicare | $44.80 | ↓ -79% |
| Humana | Medicare | $45.25 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $45.92 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $45.92 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $46.40 | ↓ -79% |
| Cigna | Medicare | $47.04 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $48.38 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $48.38 | ↓ -78% |
| Aetna | Medicare | $48.80 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $64.00 | ↓ -71% |
| Geisinger | Medicaid | $88.00 | ↓ -60% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $88.00 | ↓ -60% |
| UPMC Health Plan | Commercial | $112.00 | ↓ -49% |
| Geisinger | Commercial | $120.00 | ↓ -45% |
| InterGroup | PPO | $128.00 | ↓ -41% |
| Humana | Commercial | $128.00 | ↓ -41% |
| Galaxy Health Plan | Commercial | $128.00 | ↓ -41% |
| Multiplan | Worker's Compensation | $128.00 | ↓ -41% |
| Multiplan | PPO/Auto | $128.00 | ↓ -41% |
| Aetna | Commercial | $131.20 | ↓ -40% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↑ +253% |
| UPMC Work Partners | Workers Comp | $791.18 | ↑ +262% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,229.57 | ↑ +1379% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,229.57 | ↑ +1379% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,932.75 | ↑ +1701% |
| Highmark BCBS of PA | Managed Care | $3,932.75 | ↑ +1701% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Insert cath pleura without image at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $843.60 | $472.66 – $1,953.23 |
| UPMC East | Monroeville | $832.80 | $458.04 – $1,953.23 |
| UPMC Hamot | Erie | $931.20 | $472.66 – $2,630.42 |
| UPMC Northwest | Seneca | $2,829.00 | $791.18 – $1,953.23 |
| UPMC Horizon-Greenville | Greenville | $2,109.00 | $791.18 – $1,953.23 |
| UPMC Jameson | New Castle | $2,335.80 | $481.00 – $2,441.54 |
| UPMC Magee | Pittsburgh | $2,370.00 | $477.16 – $1,989.40 |
| UPMC Mercy | Pittsburgh | $697.20 | $472.66 – $1,989.40 |