Clsd tx dist fib fx w/manip 27788 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,333.20
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.
$2,222.00
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.
$166.95 with Aetna vs $2,334.80 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 | $166.95 | ↓ -87% |
| Geisinger | Medicaid | $220.99 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $239.77 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $270.97 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $321.83 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $325.08 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $325.08 | ↓ -76% |
| Humana | Medicare | $328.33 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $333.21 | ↓ -75% |
| AmeriHealth Caritas | Medicaid | $333.21 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $336.69 | ↓ -75% |
| Cigna | Medicare | $341.33 | ↓ -74% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $351.09 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $351.09 | ↓ -74% |
| Aetna | Medicare | $354.11 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $464.40 | ↓ -65% |
| United Healthcare | Medicare | $622.16 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $744.36 | ↓ -44% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↓ -42% |
| UPMC Health Plan | Commercial | $812.70 | ↓ -39% |
| Geisinger | Commercial | $870.75 | ↓ -35% |
| InterGroup | PPO | $928.80 | ↓ -30% |
| Humana | Commercial | $928.80 | ↓ -30% |
| Galaxy Health Plan | Commercial | $928.80 | ↓ -30% |
| Multiplan | Worker's Compensation | $928.80 | ↓ -30% |
| Multiplan | PPO/Auto | $928.80 | ↓ -30% |
| Aetna | Commercial | $952.02 | ↓ -29% |
| UPMC Health Plan | CHIP | $1,712.65 | ↑ +28% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,917.33 | ↑ +44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,917.33 | ↑ +44% |
| Highmark BCBS of PA | Managed Care | $2,334.80 | ↑ +75% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,334.80 | ↑ +75% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx dist fib fx w/manip 27788 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,275.20 | $159.00 – $3,033.60 |
| UPMC Bedford | Everett | $2,541.00 | $82.51 – $3,811.50 |
| UPMC Carlisle | Carlisle | $1,225.20 | $201.93 – $1,735.70 |
| UPMC Community Osteopathic | Harrisburg | $1,225.20 | $201.93 – $1,735.70 |
| UPMC East | Monroeville | $2,767.80 | $174.90 – $3,690.40 |
| UPMC Hamot | Erie | $2,310.60 | $174.90 – $782.12 |
| UPMC Northwest | Seneca | $3,017.40 | $174.90 – $734.61 |
| UPMC Hanover | Hanover | $1,225.20 | $201.93 – $1,016.56 |