Remove foreign body from eye at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$2,238.00
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.
$3,730.00
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.
$477.34 with Highmark BCBS of PA vs $3,879.90 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 | $477.34 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $482.16 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $482.16 | ↓ -78% |
| Humana | Medicare | $486.98 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $494.21 | ↓ -78% |
| AmeriHealth Caritas | Medicaid | $494.21 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $499.38 | ↓ -78% |
| Cigna | Medicare | $506.27 | ↓ -77% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $520.73 | ↓ -77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $520.73 | ↓ -77% |
| Aetna | Medicare | $525.21 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $688.80 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $947.10 | ↓ -58% |
| Geisinger | Medicaid | $947.10 | ↓ -58% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↓ -53% |
| United Healthcare | Medicare | $1,044.40 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $1,174.04 | ↓ -48% |
| UPMC Health Plan | Commercial | $1,205.40 | ↓ -46% |
| Geisinger | Commercial | $1,291.50 | ↓ -42% |
| Multiplan | PPO/Auto | $1,377.60 | ↓ -38% |
| Humana | Commercial | $1,377.60 | ↓ -38% |
| Galaxy Health Plan | Commercial | $1,377.60 | ↓ -38% |
| Multiplan | Worker's Compensation | $1,377.60 | ↓ -38% |
| InterGroup | PPO | $1,377.60 | ↓ -38% |
| Aetna | Commercial | $1,412.04 | ↓ -37% |
| UPMC Health Plan | CHIP | $2,296.84 | ↑ +3% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,186.17 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,186.17 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,879.90 | ↑ +73% |
| Highmark BCBS of PA | Managed Care | $3,879.90 | ↑ +73% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Remove foreign body from eye at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,707.00 | $729.80 – $6,276.00 |
| UPMC Bedford | Everett | $5,026.80 | $784.52 – $7,540.20 |
| UPMC Carlisle | Carlisle | $3,433.80 | $784.05 – $4,864.55 |
| UPMC Community Osteopathic | Harrisburg | $3,433.80 | $1,016.56 – $4,864.55 |
| UPMC East | Monroeville | $3,768.60 | $736.75 – $5,024.80 |
| UPMC Hamot | Erie | $4,698.60 | $729.80 – $3,162.51 |
| UPMC Northwest | Seneca | $4,779.60 | $1,085.01 – $2,348.35 |
| UPMC Hanover | Hanover | $3,433.80 | $1,016.56 – $3,486.05 |