Laryngoscopy with biopsy at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$289.80
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.
$483.00
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.
$58.77 with Highmark BCBS of PA vs $2,297.29 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $58.77 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $59.36 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $59.36 | ↓ -80% |
| United Healthcare | Medicare | $59.36 | ↓ -80% |
| Humana | Medicare | $59.95 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $60.84 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $60.84 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $61.48 | ↓ -79% |
| Cigna | Medicare | $62.33 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $64.11 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $64.11 | ↓ -78% |
| Aetna | Medicare | $64.66 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $84.80 | ↓ -71% |
| Aetna | CHIP/Medicaid | $117.20 | ↓ -60% |
| UPMC Health Plan | Commercial | $148.40 | ↓ -49% |
| Geisinger | Medicaid | $155.14 | ↓ -46% |
| Geisinger | Commercial | $159.00 | ↓ -45% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $168.32 | ↓ -42% |
| InterGroup | PPO | $169.60 | ↓ -41% |
| Humana | Commercial | $169.60 | ↓ -41% |
| Galaxy Health Plan | Commercial | $169.60 | ↓ -41% |
| Multiplan | Worker's Compensation | $169.60 | ↓ -41% |
| Multiplan | PPO/Auto | $169.60 | ↓ -41% |
| Aetna | Commercial | $173.84 | ↓ -40% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $190.22 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $655.66 | ↑ +126% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +260% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,183.94 | ↑ +309% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,183.94 | ↑ +309% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,441.72 | ↑ +397% |
| Highmark BCBS of PA | Managed Care | $1,441.72 | ↑ +397% |
| UPMC Health Plan | CHIP | $2,297.29 | ↑ +693% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Laryngoscopy with biopsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $5,543.40 | $122.78 – $1,808.49 |
| Uniontown Hospital | Uniontown | $2,173.00 | $122.78 – $3,583.20 |
| WellSpan Chambersburg Hospital | Chambersburg | not published | $970.00 – $7,931.01 |