Clsd tx finger tendon w/wo perq pin 26432 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,941.60
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.
$3,236.00
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.
$152.18 with Highmark BCBS of PA vs $2,955.15 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 | $152.18 | ↓ -92% |
| United Healthcare | Medicare | $153.72 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $153.72 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $153.72 | ↓ -92% |
| Humana | Medicare | $155.26 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $157.56 | ↓ -92% |
| AmeriHealth Caritas | Medicaid | $157.56 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $159.21 | ↓ -92% |
| Cigna | Medicare | $161.41 | ↓ -92% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $166.02 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $166.02 | ↓ -91% |
| Aetna | Medicare | $167.44 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $219.60 | ↓ -89% |
| UPMC Health Plan | Commercial | $384.30 | ↓ -80% |
| Geisinger | Commercial | $411.75 | ↓ -79% |
| InterGroup | PPO | $439.20 | ↓ -77% |
| Humana | Commercial | $439.20 | ↓ -77% |
| Galaxy Health Plan | Commercial | $439.20 | ↓ -77% |
| Multiplan | Worker's Compensation | $439.20 | ↓ -77% |
| Multiplan | PPO/Auto | $439.20 | ↓ -77% |
| Aetna | CHIP/Medicaid | $447.96 | ↓ -77% |
| Aetna | Commercial | $450.18 | ↓ -77% |
| Geisinger | Medicaid | $592.97 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $643.36 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $727.06 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $925.52 | ↓ -52% |
| BCBS of Western NY | Medicare Advantage | $1,192.92 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,426.77 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,426.77 | ↑ +25% |
| UPMC Health Plan | CHIP | $2,656.19 | ↑ +37% |
| Highmark BCBS of PA | Managed Care | $2,955.15 | ↑ +52% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,955.15 | ↑ +52% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx finger tendon w/wo perq pin 26432 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,354.00 | $541.82 – $4,751.50 |
| UPMC Community Osteopathic | Harrisburg | $3,354.00 | $541.82 – $4,751.50 |
| UPMC Hanover | Hanover | $3,354.00 | $541.82 – $2,446.19 |
| UPMC Lititz | Lititz | $3,354.00 | $541.82 – $2,459.41 |
| UPMC Memorial | York | $3,354.00 | $541.82 – $2,455.41 |
| UPMC Presbyterian | Pittsburgh | $6,887.40 | $469.29 – $1,678.38 |
| UPMC Somerset | Somerset | $3,354.00 | $469.29 – $1,525.80 |
| UPMC Hamot | Erie | not published | $469.29 – $2,219.16 |