Clsd tx/dis phalan fx without manip/ea 26750 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$578.40
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.
$964.00
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.
$42.41 with Highmark BCBS of PA vs $2,325.85 with BCBS of Western NY — 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 | $42.41 | ↓ -93% |
| United Healthcare | Medicare | $42.84 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $42.84 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $42.84 | ↓ -93% |
| Humana | Medicare | $43.27 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $43.91 | ↓ -92% |
| AmeriHealth Caritas | Medicaid | $43.91 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $44.37 | ↓ -92% |
| Cigna | Medicare | $44.98 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $46.27 | ↓ -92% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $46.27 | ↓ -92% |
| Aetna | Medicare | $46.66 | ↓ -92% |
| Aetna | CHIP/Medicaid | $50.40 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $61.20 | ↓ -89% |
| Geisinger | Medicaid | $66.72 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $72.38 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $81.80 | ↓ -86% |
| UPMC Health Plan | Commercial | $107.10 | ↓ -81% |
| Geisinger | Commercial | $114.75 | ↓ -80% |
| InterGroup | PPO | $122.40 | ↓ -79% |
| Humana | Commercial | $122.40 | ↓ -79% |
| Galaxy Health Plan | Commercial | $122.40 | ↓ -79% |
| Multiplan | Worker's Compensation | $122.40 | ↓ -79% |
| Multiplan | PPO/Auto | $122.40 | ↓ -79% |
| Aetna | Commercial | $125.46 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $229.39 | ↓ -60% |
| UPMC Health Plan | CHIP | $284.82 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $851.07 | ↑ +47% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $851.07 | ↑ +47% |
| Highmark BCBS of PA | Managed Care | $1,036.37 | ↑ +79% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,036.37 | ↑ +79% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +302% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx/dis phalan fx without manip/ea 26750 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $229.20 | $50.40 – $343.80 |
| UPMC Carlisle | Carlisle | $370.80 | $60.96 – $525.30 |
| UPMC Community Osteopathic | Harrisburg | $370.80 | $60.96 – $525.30 |
| UPMC Hanover | Hanover | $370.80 | $60.96 – $366.66 |
| UPMC Kane | Kane | $595.20 | $52.80 – $809.08 |
| UPMC Lititz | Lititz | $370.80 | $60.96 – $368.64 |
| UPMC Magee | Pittsburgh | $384.00 | $52.80 – $247.00 |
| UPMC Memorial | York | $370.80 | $60.96 – $368.03 |