Replace tunneled cv cath at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
not published by hospital
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.
not published by hospital
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.
$209.29 with Aetna vs $5,176.98 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $209.29 | — |
| Geisinger | Medicaid | $277.03 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $300.57 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $339.68 | — |
| UPMC Work Partners | Workers Comp | $974.60 | — |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | — |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,901.53 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,901.53 | — |
| Highmark BCBS of PA | Commercial - Indemnity | $2,315.56 | — |
| Highmark BCBS of PA | Managed Care | $2,315.56 | — |
| UPMC Health Plan | CHIP | $5,176.98 | — |
| United Healthcare | Commercial | not published by hospital | — |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Replace tunneled cv cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,273.80 | $253.14 – $6,054.55 |
| UPMC Community Osteopathic | Harrisburg | $4,273.80 | $269.08 – $6,054.55 |
| UPMC Hanover | Hanover | $4,273.80 | $253.14 – $4,810.90 |
| UPMC Lititz | Lititz | $4,273.80 | $253.14 – $4,836.88 |
| UPMC Magee | Pittsburgh | $4,495.20 | $219.25 – $3,240.82 |
| UPMC Memorial | York | $4,273.80 | $253.14 – $4,829.02 |
| UPMC Passavant-McCandless | Pittsburgh | $3,812.40 | $219.25 – $3,300.84 |
| UPMC Presbyterian | Pittsburgh | $4,921.80 | $219.25 – $3,300.84 |