Clsd tx trimall ankle fx w/manip 27818 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,534.20
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.
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What you pay up front if you don't use insurance.
$2,557.00
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.
$250.95 with Aetna vs $2,699.84 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $250.95 | ↓ -84% |
| Geisinger | Medicaid | $332.19 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $360.41 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $364.52 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $368.20 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $368.20 | ↓ -76% |
| Humana | Medicare | $371.88 | ↓ -76% |
| AmeriHealth Caritas | Medicaid | $377.40 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $377.40 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $381.35 | ↓ -75% |
| Cigna | Medicare | $386.61 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $397.66 | ↓ -74% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $397.66 | ↓ -74% |
| Aetna | Medicare | $401.07 | ↓ -74% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $407.30 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $526.00 | ↓ -66% |
| United Healthcare | Medicare | $715.96 | ↓ -53% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↓ -50% |
| UPMC Health Plan | Commercial | $920.50 | ↓ -40% |
| Geisinger | Commercial | $986.25 | ↓ -36% |
| InterGroup | PPO | $1,052.00 | ↓ -31% |
| Humana | Commercial | $1,052.00 | ↓ -31% |
| Galaxy Health Plan | Commercial | $1,052.00 | ↓ -31% |
| Multiplan | Worker's Compensation | $1,052.00 | ↓ -31% |
| Multiplan | PPO/Auto | $1,052.00 | ↓ -31% |
| Aetna | Commercial | $1,078.30 | ↓ -30% |
| UPMC Work Partners | Workers Comp | $1,243.08 | ↓ -19% |
| UPMC Health Plan | CHIP | $1,731.97 | ↑ +13% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,217.11 | ↑ +45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,217.11 | ↑ +45% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,699.84 | ↑ +76% |
| Highmark BCBS of PA | Managed Care | $2,699.84 | ↑ +76% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Clsd tx trimall ankle fx w/manip 27818 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,275.20 | $239.00 – $3,033.60 |
| UPMC Bedford | Everett | $1,191.00 | $250.95 – $1,786.50 |
| UPMC Carlisle | Carlisle | $2,055.00 | $303.53 – $2,911.25 |
| UPMC Community Osteopathic | Harrisburg | $2,055.00 | $303.53 – $2,911.25 |
| UPMC East | Monroeville | $2,281.20 | $262.90 – $3,041.60 |
| UPMC Hamot | Erie | $2,337.60 | $262.90 – $2,219.16 |
| UPMC Northwest | Seneca | $1,632.60 | $262.90 – $1,602.09 |
| UPMC Hanover | Hanover | $2,055.00 | $303.53 – $2,446.19 |