Closed carpo/metacarpal fx disl thumb w/manip at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,351.20
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.
?
What you pay up front if you don't use insurance.
$2,252.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$93.45 with Aetna vs $2,375.87 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $93.45 | ↓ -93% |
| Geisinger | Medicaid | $123.70 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $134.21 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $151.67 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $315.45 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $318.64 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $318.64 | ↓ -76% |
| Humana | Medicare | $321.83 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $326.61 | ↓ -76% |
| AmeriHealth Caritas | Medicaid | $326.61 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $330.02 | ↓ -76% |
| Cigna | Medicare | $334.57 | ↓ -75% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $344.13 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $344.13 | ↓ -75% |
| Aetna | Medicare | $347.09 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $455.20 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $612.16 | ↓ -55% |
| United Healthcare | Medicare | $630.56 | ↓ -53% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↓ -43% |
| UPMC Health Plan | Commercial | $796.60 | ↓ -41% |
| Geisinger | Commercial | $853.50 | ↓ -37% |
| InterGroup | PPO | $910.40 | ↓ -33% |
| Humana | Commercial | $910.40 | ↓ -33% |
| Galaxy Health Plan | Commercial | $910.40 | ↓ -33% |
| Multiplan | Worker's Compensation | $910.40 | ↓ -33% |
| Multiplan | PPO/Auto | $910.40 | ↓ -33% |
| Aetna | Commercial | $933.16 | ↓ -31% |
| UPMC Health Plan | CHIP | $1,712.70 | ↑ +27% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,951.07 | ↑ +44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,951.07 | ↑ +44% |
| Highmark BCBS of PA | Managed Care | $2,375.87 | ↑ +76% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,375.87 | ↑ +76% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Closed carpo/metacarpal fx disl thumb w/manip at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,515.40 | $89.00 – $4,687.20 |
| UPMC Bedford | Everett | $3,647.40 | $93.45 – $5,471.10 |
| UPMC East | Monroeville | $3,021.60 | $97.90 – $4,028.80 |
| UPMC Hamot | Erie | $2,737.20 | $97.90 – $2,219.16 |
| UPMC Presbyterian | Pittsburgh | $3,560.40 | $97.90 – $1,678.38 |
| WellSpan Newberry Hospital | Etters | not published | not published |