Clsd tx/ulnar shaft fx without manip 25530 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$822.00
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.
$1,370.00
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.
$56.27 with Highmark BCBS of PA vs $1,452.28 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 | $56.27 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $56.84 | ↓ -93% |
| United Healthcare | Medicare | $56.84 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $56.84 | ↓ -93% |
| Humana | Medicare | $57.41 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $58.26 | ↓ -93% |
| AmeriHealth Caritas | Medicaid | $58.26 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $58.87 | ↓ -93% |
| Cigna | Medicare | $59.68 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $61.39 | ↓ -93% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $61.39 | ↓ -93% |
| Aetna | Medicare | $61.91 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $81.20 | ↓ -90% |
| BCBS of Western NY | Medicare Advantage | $98.03 | ↓ -88% |
| Aetna | CHIP/Medicaid | $113.40 | ↓ -86% |
| UPMC Health Plan | Commercial | $142.10 | ↓ -83% |
| Geisinger | Medicaid | $150.11 | ↓ -82% |
| Geisinger | Commercial | $152.25 | ↓ -81% |
| InterGroup | PPO | $162.40 | ↓ -80% |
| Humana | Commercial | $162.40 | ↓ -80% |
| Galaxy Health Plan | Commercial | $162.40 | ↓ -80% |
| Multiplan | Worker's Compensation | $162.40 | ↓ -80% |
| Multiplan | PPO/Auto | $162.40 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $162.86 | ↓ -80% |
| Aetna | Commercial | $166.46 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $184.05 | ↓ -78% |
| UPMC Health Plan | CHIP | $359.52 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $520.24 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,192.61 | ↑ +45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,192.61 | ↑ +45% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,452.28 | ↑ +77% |
| Highmark BCBS of PA | Managed Care | $1,452.28 | ↑ +77% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx/ulnar shaft fx without manip 25530 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $664.20 | $82.51 – $996.30 |
| UPMC Carlisle | Carlisle | $445.80 | $101.79 – $1,016.56 |
| UPMC Community Osteopathic | Harrisburg | $445.80 | $137.16 – $1,016.56 |
| UPMC Hanover | Hanover | $445.80 | $137.16 – $1,016.56 |
| UPMC Lititz | Lititz | $445.80 | $137.16 – $1,016.56 |
| UPMC Memorial | York | $445.80 | $90.84 – $1,016.56 |
| UPMC Muncy | Muncy | $825.60 | $118.80 – $993.28 |
| UPMC Somerset | Somerset | $445.80 | $110.33 – $892.40 |