Amputation toe interphalangeal joint at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,743.60
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.
$2,906.00
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.
$246.15 with Highmark BCBS of PA vs $2,314.70 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 | $246.15 | ↓ -86% |
| UPMC Health Plan | Managed Medicare | $248.64 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $248.64 | ↓ -86% |
| Humana | Medicare | $251.13 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $254.86 | ↓ -85% |
| AmeriHealth Caritas | Medicaid | $254.86 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $257.52 | ↓ -85% |
| Cigna | Medicare | $261.07 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $268.53 | ↓ -85% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $268.53 | ↓ -85% |
| Aetna | Medicare | $270.84 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $355.20 | ↓ -80% |
| Geisinger | Medicaid | $488.40 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $488.40 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $535.81 | ↓ -69% |
| UPMC Health Plan | Commercial | $621.60 | ↓ -64% |
| Geisinger | Commercial | $666.00 | ↓ -62% |
| InterGroup | PPO | $710.40 | ↓ -59% |
| Humana | Commercial | $710.40 | ↓ -59% |
| Galaxy Health Plan | Commercial | $710.40 | ↓ -59% |
| Multiplan | Worker's Compensation | $710.40 | ↓ -59% |
| Multiplan | PPO/Auto | $710.40 | ↓ -59% |
| Aetna | Commercial | $728.16 | ↓ -58% |
| United Healthcare | Medicare | $813.68 | ↓ -53% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,282.37 | ↓ -26% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,282.37 | ↓ -26% |
| Highmark BCBS of PA | Managed Care | $1,561.58 | ↓ -10% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,561.58 | ↓ -10% |
| UPMC Health Plan | CHIP | $2,314.70 | ↑ +33% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Amputation toe interphalangeal joint at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,733.00 | $535.81 – $3,644.00 |
| UPMC Carlisle | Carlisle | $6,223.80 | $560.73 – $8,817.05 |
| UPMC Hamot | Erie | $4,066.20 | $591.83 – $4,499.05 |
| UPMC Hanover | Hanover | $6,223.80 | $567.31 – $4,959.33 |
| UPMC Magee | Pittsburgh | $3,045.00 | $591.83 – $3,402.68 |
| UPMC Passavant-McCandless | Pittsburgh | $3,607.80 | $591.83 – $3,402.68 |
| UPMC Presbyterian | Pittsburgh | $5,593.20 | $680.66 – $3,402.68 |
| UPMC Wellsboro | Wellsboro | $3,304.80 | $535.81 – $993.28 |