Brace afo lg left 6607 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$383.40
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.
$639.00
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.
$121.41 with Health Partners Plans (Jefferson Health Plan) vs $1,822.07 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $121.41 | ↓ -68% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $177.13 | ↓ -54% |
| United Healthcare | Medicare | $178.92 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $178.92 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $178.92 | ↓ -53% |
| Humana | Medicare | $180.71 | ↓ -53% |
| AmeriHealth Caritas | Medicaid | $183.39 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $183.39 | ↓ -52% |
| Cigna | Medicare | $187.87 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $193.23 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $193.23 | ↓ -50% |
| Aetna | Medicare | $194.90 | ↓ -49% |
| Geisinger | Medicaid | $210.87 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $230.04 | ↓ -40% |
| United Healthcare | Commercial | $351.45 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $351.45 | ↓ -8% |
| UPMC Health Plan | Managed Medicaid | $396.18 | ↑ +3% |
| UPMC Work Partners | Workers Comp | $409.04 | ↑ +7% |
| UPMC Health Plan | Commercial | $447.30 | ↑ +17% |
| Geisinger | Commercial | $479.25 | ↑ +25% |
| Multiplan | Worker's Compensation | $511.20 | ↑ +33% |
| InterGroup | PPO | $511.20 | ↑ +33% |
| Galaxy Health Plan | Commercial | $511.20 | ↑ +33% |
| Humana | Commercial | $511.20 | ↑ +33% |
| Multiplan | PPO/Auto | $511.20 | ↑ +33% |
| Aetna | Commercial | $523.98 | ↑ +37% |
| UPMC Health Plan | CHIP | $1,067.08 | ↑ +178% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,496.29 | ↑ +290% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,496.29 | ↑ +290% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,822.07 | ↑ +375% |
| Highmark BCBS of PA | Managed Care | $1,822.07 | ↑ +375% |
Visitor-reported prices
Comments
Brace afo lg left 6607 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $42.00 | $409.04 – $1,067.08 |
| UPMC Magee | Pittsburgh | $892.20 | $141.19 – $1,067.08 |
| UPMC Mercy | Pittsburgh | $1,288.20 | $286.53 – $842.61 |
| UPMC Passavant-McCandless | Pittsburgh | $609.00 | $289.26 – $1,548.47 |
| UPMC Presbyterian | Pittsburgh | $796.20 | $168.00 – $1,725.28 |
| UPMC St. Margaret | Pittsburgh | $618.60 | $289.26 – $1,309.38 |