Clsd tx wrist scaphoid fx without manip 25622 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$957.60
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.
?
What you pay up front if you don't use insurance.
$1,596.00
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.
$65.42 with Highmark BCBS of PA vs $1,692.88 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $65.42 | ↓ -93% |
| United Healthcare | Medicare | $66.08 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $66.08 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $66.08 | ↓ -93% |
| Humana | Medicare | $66.74 | ↓ -93% |
| AmeriHealth Caritas | Medicaid | $67.73 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $67.73 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $68.44 | ↓ -93% |
| Cigna | Medicare | $69.38 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $71.37 | ↓ -93% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $71.37 | ↓ -93% |
| Aetna | Medicare | $71.98 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $94.40 | ↓ -90% |
| BCBS of Western NY | Medicare Advantage | $98.03 | ↓ -90% |
| Aetna | CHIP/Medicaid | $128.10 | ↓ -87% |
| UPMC Health Plan | Commercial | $165.20 | ↓ -83% |
| Geisinger | Medicaid | $169.57 | ↓ -82% |
| Geisinger | Commercial | $177.00 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $183.98 | ↓ -81% |
| InterGroup | PPO | $188.80 | ↓ -80% |
| Humana | Commercial | $188.80 | ↓ -80% |
| Galaxy Health Plan | Commercial | $188.80 | ↓ -80% |
| Multiplan | Worker's Compensation | $188.80 | ↓ -80% |
| Multiplan | PPO/Auto | $188.80 | ↓ -80% |
| Aetna | Commercial | $193.52 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $207.91 | ↓ -78% |
| UPMC Health Plan | CHIP | $420.11 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $556.46 | ↓ -42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,390.19 | ↑ +45% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,390.19 | ↑ +45% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,692.88 | ↑ +77% |
| Highmark BCBS of PA | Managed Care | $1,692.88 | ↑ +77% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx wrist scaphoid fx without manip 25622 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $484.80 | $82.51 – $727.20 |
| UPMC Carlisle | Carlisle | $520.80 | $118.92 – $1,016.56 |
| UPMC Community Osteopathic | Harrisburg | $520.80 | $154.94 – $1,016.56 |
| UPMC Hanover | Hanover | $520.80 | $154.94 – $1,016.56 |
| UPMC Kane | Kane | $397.80 | $134.20 – $1,321.60 |
| UPMC Lititz | Lititz | $520.80 | $154.94 – $1,016.56 |
| UPMC Memorial | York | $520.80 | $106.05 – $1,016.56 |
| UPMC Muncy | Muncy | $825.60 | $134.20 – $993.28 |