Complx repair fccmnaxghf 13131 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,693.20
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.
$2,822.00
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.
$74.55 with Aetna vs $2,315.26 with UPMC Health Plan — 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 | $74.55 | ↓ -96% |
| Geisinger | Medicaid | $98.68 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $107.07 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $121.00 | ↓ -93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $220.93 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $223.16 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $223.16 | ↓ -87% |
| Humana | Medicare | $225.39 | ↓ -87% |
| AmeriHealth Caritas | Medicaid | $228.74 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $228.74 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $231.13 | ↓ -86% |
| Cigna | Medicare | $234.32 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $241.01 | ↓ -86% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $241.01 | ↓ -86% |
| Aetna | Medicare | $243.09 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $318.80 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $448.17 | ↓ -74% |
| UPMC Health Plan | Commercial | $557.90 | ↓ -67% |
| Geisinger | Commercial | $597.75 | ↓ -65% |
| InterGroup | PPO | $637.60 | ↓ -62% |
| Humana | Commercial | $637.60 | ↓ -62% |
| Galaxy Health Plan | Commercial | $637.60 | ↓ -62% |
| Multiplan | Worker's Compensation | $637.60 | ↓ -62% |
| Multiplan | PPO/Auto | $637.60 | ↓ -62% |
| Aetna | Commercial | $653.54 | ↓ -61% |
| United Healthcare | Medicare | $790.16 | ↓ -53% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,711.72 | ↑ +1% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,711.72 | ↑ +1% |
| Highmark BCBS of PA | Managed Care | $2,084.41 | ↑ +23% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,084.41 | ↑ +23% |
| UPMC Health Plan | CHIP | $2,315.26 | ↑ +37% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair fccmnaxghf 13131 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,440.60 | $71.00 – $1,920.80 |
| UPMC Bedford | Everett | $4,893.00 | $74.55 – $7,339.50 |
| UPMC Carlisle | Carlisle | $911.40 | $90.17 – $1,291.15 |
| UPMC Community Osteopathic | Harrisburg | $911.40 | $90.17 – $2,315.26 |
| UPMC East | Monroeville | $3,824.40 | $78.10 – $5,099.20 |
| UPMC Hamot | Erie | $3,123.00 | $78.10 – $729.80 |
| UPMC Northwest | Seneca | $2,186.40 | $78.10 – $479.78 |
| UPMC Hanover | Hanover | $911.40 | $90.17 – $1,016.56 |