Closed tx/talus fracture without manip 28430 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$747.60
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.
$1,246.00
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.
$53.22 with Highmark BCBS of PA vs $1,307.32 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $53.22 | ↓ -93% |
| United Healthcare | Medicare | $53.76 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $53.76 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $53.76 | ↓ -93% |
| Humana | Medicare | $54.30 | ↓ -93% |
| AmeriHealth Caritas | Medicaid | $55.10 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $55.10 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $55.68 | ↓ -93% |
| Cigna | Medicare | $56.45 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $58.06 | ↓ -92% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $58.06 | ↓ -92% |
| Aetna | Medicare | $58.56 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $76.80 | ↓ -90% |
| BCBS of Western NY | Medicare Advantage | $98.03 | ↓ -87% |
| Aetna | CHIP/Medicaid | $116.55 | ↓ -84% |
| UPMC Health Plan | Commercial | $134.40 | ↓ -82% |
| Geisinger | Commercial | $144.00 | ↓ -81% |
| InterGroup | PPO | $153.60 | ↓ -79% |
| Humana | Commercial | $153.60 | ↓ -79% |
| Galaxy Health Plan | Commercial | $153.60 | ↓ -79% |
| Multiplan | Worker's Compensation | $153.60 | ↓ -79% |
| Multiplan | PPO/Auto | $153.60 | ↓ -79% |
| Geisinger | Medicaid | $154.28 | ↓ -79% |
| Aetna | Commercial | $157.44 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $167.39 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $189.17 | ↓ -75% |
| UPMC Health Plan | CHIP | $419.16 | ↓ -44% |
| UPMC Work Partners | Workers Comp | $546.42 | ↓ -27% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,073.57 | ↑ +44% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,073.57 | ↑ +44% |
| Highmark BCBS of PA | Managed Care | $1,307.32 | ↑ +75% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,307.32 | ↑ +75% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Closed tx/talus fracture without manip 28430 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $327.60 | $74.80 – $571.83 |
| UPMC Community Osteopathic | Harrisburg | $327.60 | $109.20 – $580.26 |
| UPMC Hanover | Hanover | $327.60 | $140.97 – $580.26 |
| UPMC Lititz | Lititz | $327.60 | $140.97 – $571.83 |
| UPMC Memorial | York | $327.60 | $106.05 – $580.26 |
| UPMC Muncy | Muncy | $825.60 | $122.10 – $497.32 |
| UPMC Somerset | Somerset | $327.60 | $122.10 – $546.42 |
| UPMC Wellsboro | Wellsboro | $998.40 | $122.10 – $546.42 |