Clsd tx coccygeal fracture 27200 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$576.00
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.
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What you pay up front if you don't use insurance.
$960.00
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.
$45.74 with Highmark BCBS of PA vs $1,022.05 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 | $45.74 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $46.20 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $46.20 | ↓ -92% |
| United Healthcare | Medicare | $46.20 | ↓ -92% |
| Humana | Medicare | $46.66 | ↓ -92% |
| AmeriHealth Caritas | Medicaid | $47.35 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $47.35 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $47.85 | ↓ -92% |
| Cigna | Medicare | $48.51 | ↓ -92% |
| Aetna | CHIP/Medicaid | $48.83 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $49.90 | ↓ -91% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $49.90 | ↓ -91% |
| Aetna | Medicare | $50.33 | ↓ -91% |
| Geisinger | Medicaid | $64.63 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $66.00 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $70.12 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $79.25 | ↓ -86% |
| BCBS of Western NY | Medicare Advantage | $98.03 | ↓ -83% |
| UPMC Health Plan | Commercial | $115.50 | ↓ -80% |
| Geisinger | Commercial | $123.75 | ↓ -79% |
| InterGroup | PPO | $132.00 | ↓ -77% |
| Humana | Commercial | $132.00 | ↓ -77% |
| Galaxy Health Plan | Commercial | $132.00 | ↓ -77% |
| Multiplan | Worker's Compensation | $132.00 | ↓ -77% |
| Multiplan | PPO/Auto | $132.00 | ↓ -77% |
| Aetna | Commercial | $135.30 | ↓ -77% |
| UPMC Health Plan | CHIP | $166.82 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $330.09 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $839.31 | ↑ +46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $839.31 | ↑ +46% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,022.05 | ↑ +77% |
| Highmark BCBS of PA | Managed Care | $1,022.05 | ↑ +77% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx coccygeal fracture 27200 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $327.60 | $59.05 – $464.10 |
| UPMC Community Osteopathic | Harrisburg | $327.60 | $59.05 – $464.10 |
| UPMC Hanover | Hanover | $327.60 | $59.05 – $366.66 |
| UPMC Lititz | Lititz | $327.60 | $59.05 – $368.64 |
| UPMC Memorial | York | $327.60 | $45.45 – $368.03 |
| UPMC Somerset | Somerset | $327.60 | $51.15 – $330.09 |
| Uniontown Hospital | Uniontown | $283.50 | $51.15 – $496.57 |