Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$751.20
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.
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What you pay up front if you don't use insurance.
$1,252.00
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.
$85.10 with Highmark BCBS of PA vs $1,533.39 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 | $85.10 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $85.96 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $85.96 | ↓ -89% |
| Aetna | CHIP/Medicaid | $86.72 | ↓ -88% |
| Humana | Medicare | $86.82 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $88.11 | ↓ -88% |
| AmeriHealth Caritas | Medicaid | $88.11 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $89.03 | ↓ -88% |
| Cigna | Medicare | $90.26 | ↓ -88% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $92.84 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $92.84 | ↓ -88% |
| Aetna | Medicare | $93.64 | ↓ -88% |
| Geisinger | Medicaid | $114.79 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $122.80 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $124.55 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $140.75 | ↓ -81% |
| UPMC Health Plan | Commercial | $214.90 | ↓ -71% |
| Geisinger | Commercial | $230.25 | ↓ -69% |
| InterGroup | PPO | $245.60 | ↓ -67% |
| Humana | Commercial | $245.60 | ↓ -67% |
| Galaxy Health Plan | Commercial | $245.60 | ↓ -67% |
| Multiplan | Worker's Compensation | $245.60 | ↓ -67% |
| Multiplan | PPO/Auto | $245.60 | ↓ -67% |
| Aetna | Commercial | $251.74 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $327.19 | ↓ -56% |
| United Healthcare | Medicare | $350.56 | ↓ -53% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↑ +3% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,061.95 | ↑ +41% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,061.95 | ↑ +41% |
| Highmark BCBS of PA | Managed Care | $1,293.17 | ↑ +72% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,293.17 | ↑ +72% |
| UPMC Health Plan | CHIP | $1,533.39 | ↑ +104% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,150.20 | $82.59 – $1,533.60 |
| UPMC Carlisle | Carlisle | $924.60 | $104.89 – $2,479.92 |
| UPMC Community Osteopathic | Harrisburg | $924.60 | $108.19 – $1,705.37 |
| UPMC East | Monroeville | $2,069.40 | $90.85 – $2,759.20 |
| UPMC Hamot | Erie | $1,692.00 | $90.85 – $327.19 |
| UPMC Hanover | Hanover | $924.60 | $104.89 – $2,476.51 |
| UPMC Jameson | New Castle | $575.40 | $86.36 – $2,085.34 |
| UPMC Kane | Kane | $496.20 | $90.85 – $1,009.56 |