Tympanic membrane repair at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$549.60
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.
$916.00
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.
$78.72 with Highmark BCBS of PA vs $5,168.52 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 | $78.72 | ↓ -86% |
| United Healthcare | Medicare | $79.52 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $79.52 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $79.52 | ↓ -86% |
| Humana | Medicare | $80.32 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $81.51 | ↓ -85% |
| AmeriHealth Caritas | Medicaid | $81.51 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $82.36 | ↓ -85% |
| Cigna | Medicare | $83.50 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $85.88 | ↓ -84% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $85.88 | ↓ -84% |
| Aetna | Medicare | $86.62 | ↓ -84% |
| Aetna | CHIP/Medicaid | $87.15 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $113.60 | ↓ -79% |
| Geisinger | Medicaid | $115.36 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $125.16 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $141.45 | ↓ -74% |
| UPMC Health Plan | Commercial | $198.80 | ↓ -64% |
| Geisinger | Commercial | $213.00 | ↓ -61% |
| InterGroup | PPO | $227.20 | ↓ -59% |
| Humana | Commercial | $227.20 | ↓ -59% |
| Galaxy Health Plan | Commercial | $227.20 | ↓ -59% |
| Multiplan | Worker's Compensation | $227.20 | ↓ -59% |
| Multiplan | PPO/Auto | $227.20 | ↓ -59% |
| Aetna | Commercial | $232.88 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $414.95 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,704.13 | ↑ +210% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,704.13 | ↑ +210% |
| Highmark BCBS of PA | Managed Care | $2,075.18 | ↑ +278% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,075.18 | ↑ +278% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +323% |
| UPMC Health Plan | CHIP | $5,168.52 | ↑ +840% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Tympanic membrane repair at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $6,809.40 | $91.30 – $1,646.97 |
| UPMC Passavant-McCandless | Pittsburgh | $8,426.40 | $91.30 – $1,646.97 |
| Uniontown Hospital | Uniontown | $1,783.50 | $91.30 – $3,123.56 |
| UPMC Altoona | Altoona | not published | $83.00 – $1,631.43 |
| UPMC Bedford | Everett | not published | $87.15 – $1,525.20 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $10,638.00 – $10,638.00 |
| WellSpan Gettysburg Hospital | Gettysburg | not published | $970.00 – $1,101.92 |