Removal implant superficial separate procedure at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$307.20
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.
$512.00
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.
$98.17 with Aetna vs $1,901.86 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $98.17 | ↓ -68% |
| Geisinger | Medicaid | $129.96 | ↓ -58% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $141.00 | ↓ -54% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $141.93 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $143.36 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $143.36 | ↓ -53% |
| Humana | Medicare | $144.79 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $146.94 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $146.94 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $148.48 | ↓ -52% |
| Cigna | Medicare | $150.53 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $154.83 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $154.83 | ↓ -50% |
| Aetna | Medicare | $156.16 | ↓ -49% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $159.34 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicaid | $204.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $358.40 | ↑ +17% |
| Geisinger | Commercial | $384.00 | ↑ +25% |
| InterGroup | PPO | $409.60 | ↑ +33% |
| Humana | Commercial | $409.60 | ↑ +33% |
| Galaxy Health Plan | Commercial | $409.60 | ↑ +33% |
| Multiplan | Worker's Compensation | $409.60 | ↑ +33% |
| Multiplan | PPO/Auto | $409.60 | ↑ +33% |
| Aetna | Commercial | $419.84 | ↑ +37% |
| UPMC Work Partners | Workers Comp | $433.66 | ↑ +41% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↑ +151% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,561.81 | ↑ +408% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,561.81 | ↑ +408% |
| UPMC Health Plan | CHIP | $1,714.83 | ↑ +458% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,901.86 | ↑ +519% |
| Highmark BCBS of PA | Managed Care | $1,901.86 | ↑ +519% |
Visitor-reported prices
Comments
Removal implant superficial separate procedure at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $4,239.00 | $98.17 – $6,358.50 |
| UPMC Carlisle | Carlisle | $4,161.60 | $118.75 – $5,895.60 |
| UPMC Community Osteopathic | Harrisburg | $4,161.60 | $118.75 – $5,895.60 |
| UPMC Hamot | Erie | $3,037.80 | $102.85 – $2,246.66 |
| UPMC Hanover | Hanover | $4,161.60 | $118.75 – $2,476.51 |
| UPMC Lititz | Lititz | $4,161.60 | $118.75 – $2,489.89 |
| UPMC Memorial | York | $4,161.60 | $118.75 – $2,485.84 |
| UPMC Mercy | Pittsburgh | $2,236.20 | $102.85 – $1,699.17 |