Clsd tx clavicle dislocation without manip 23540 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,266.00
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.
$2,110.00
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.
$66.15 with Aetna vs $1,731.13 with UPMC Health Plan — 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 | $66.15 | ↓ -95% |
| Geisinger | Medicaid | $87.56 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $95.00 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $107.36 | ↓ -92% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $155.23 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $156.80 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $156.80 | ↓ -88% |
| Humana | Medicare | $158.37 | ↓ -87% |
| AmeriHealth Caritas | Medicaid | $160.72 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $160.72 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $162.40 | ↓ -87% |
| Cigna | Medicare | $164.64 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $169.34 | ↓ -87% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $169.34 | ↓ -87% |
| Aetna | Medicare | $170.80 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $224.00 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $346.45 | ↓ -73% |
| UPMC Health Plan | Commercial | $392.00 | ↓ -69% |
| Geisinger | Commercial | $420.00 | ↓ -67% |
| InterGroup | PPO | $448.00 | ↓ -65% |
| Humana | Commercial | $448.00 | ↓ -65% |
| Galaxy Health Plan | Commercial | $448.00 | ↓ -65% |
| Multiplan | Worker's Compensation | $448.00 | ↓ -65% |
| Multiplan | PPO/Auto | $448.00 | ↓ -65% |
| Aetna | Commercial | $459.20 | ↓ -64% |
| United Healthcare | Medicare | $590.80 | ↓ -53% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,083.20 | ↓ -14% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,083.20 | ↓ -14% |
| Highmark BCBS of PA | Managed Care | $1,319.04 | ↑ +4% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,319.04 | ↑ +4% |
| UPMC Health Plan | CHIP | $1,731.13 | ↑ +37% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx clavicle dislocation without manip 23540 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $819.60 | $80.01 – $1,161.10 |
| UPMC Community Osteopathic | Harrisburg | $819.60 | $80.01 – $1,731.13 |
| UPMC Hanover | Hanover | $819.60 | $80.01 – $366.81 |
| UPMC Lititz | Lititz | $819.60 | $80.01 – $368.64 |
| UPMC Memorial | York | $819.60 | $80.01 – $444.23 |
| UPMC Muncy | Muncy | $534.60 | $69.30 – $397.48 |
| UPMC Somerset | Somerset | $819.60 | $69.30 – $346.45 |
| UPMC Wellsboro | Wellsboro | $647.20 | $69.30 – $346.45 |