Complx repair enel 2.6-7.5 cm 13152 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$347.89 with Highmark BCBS of PA vs $2,671.65 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 | $347.89 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $351.40 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $351.40 | ↓ -82% |
| Humana | Medicare | $354.91 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $360.19 | ↓ -81% |
| AmeriHealth Caritas | Medicaid | $360.19 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $363.95 | ↓ -81% |
| Cigna | Medicare | $368.97 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $379.51 | ↓ -80% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $379.51 | ↓ -80% |
| Aetna | Medicare | $382.77 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $502.00 | ↓ -74% |
| Geisinger | Medicaid | $690.25 | ↓ -64% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $690.25 | ↓ -64% |
| UPMC Health Plan | Commercial | $878.50 | ↓ -55% |
| United Healthcare | Medicare | $906.08 | ↓ -53% |
| Geisinger | Commercial | $941.25 | ↓ -52% |
| InterGroup | PPO | $1,004.00 | ↓ -48% |
| Humana | Commercial | $1,004.00 | ↓ -48% |
| Galaxy Health Plan | Commercial | $1,004.00 | ↓ -48% |
| Multiplan | Worker's Compensation | $1,004.00 | ↓ -48% |
| Multiplan | PPO/Auto | $1,004.00 | ↓ -48% |
| Aetna | Commercial | $1,029.10 | ↓ -47% |
| UPMC Work Partners | Workers Comp | $1,091.00 | ↓ -44% |
| BCBS of Western NY | Medicare Advantage | $1,192.92 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,193.95 | ↑ +13% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,193.95 | ↑ +13% |
| UPMC Health Plan | CHIP | $2,636.20 | ↑ +36% |
| Highmark BCBS of PA | Managed Care | $2,671.65 | ↑ +38% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,671.65 | ↑ +38% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair enel 2.6-7.5 cm 13152 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,637.80 | $595.15 – $4,850.40 |
| UPMC Bedford | Everett | $5,608.80 | $210.56 – $8,413.20 |
| UPMC Carlisle | Carlisle | $1,212.00 | $276.74 – $1,717.00 |
| UPMC Community Osteopathic | Harrisburg | $1,212.00 | $404.00 – $2,636.20 |
| UPMC East | Monroeville | $2,751.60 | $585.17 – $3,668.80 |
| UPMC Hamot | Erie | $3,556.80 | $673.54 – $1,174.62 |
| UPMC Northwest | Seneca | $4,655.40 | $529.26 – $1,104.02 |
| UPMC Hanover | Hanover | $1,212.00 | $578.92 – $2,636.20 |