Complx repair fccmnaxghf 13133 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$635.40
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.
$1,059.00
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.
$108.94 with Highmark BCBS of PA vs $1,470.59 with BCBS of Western NY — 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 | $108.94 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $110.04 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $110.04 | ↓ -83% |
| Humana | Medicare | $111.14 | ↓ -83% |
| AmeriHealth Caritas | Medicaid | $112.79 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $112.79 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $113.97 | ↓ -82% |
| Cigna | Medicare | $115.54 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $118.84 | ↓ -81% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $118.84 | ↓ -81% |
| Aetna | Medicare | $119.86 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $157.20 | ↓ -75% |
| Geisinger | Medicaid | $216.15 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $216.15 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $262.09 | ↓ -59% |
| UPMC Health Plan | Commercial | $275.10 | ↓ -57% |
| Geisinger | Commercial | $294.75 | ↓ -54% |
| United Healthcare | Medicare | $296.52 | ↓ -53% |
| InterGroup | PPO | $314.40 | ↓ -51% |
| Humana | Commercial | $314.40 | ↓ -51% |
| Galaxy Health Plan | Commercial | $314.40 | ↓ -51% |
| Multiplan | Worker's Compensation | $314.40 | ↓ -51% |
| Multiplan | PPO/Auto | $314.40 | ↓ -51% |
| Aetna | Commercial | $322.26 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $704.99 | ↑ +11% |
| Highmark BCBS of PA | Managed Care - Social Mission | $704.99 | ↑ +11% |
| Highmark BCBS of PA | Managed Care | $858.46 | ↑ +35% |
| Highmark BCBS of PA | Commercial - Indemnity | $858.46 | ↑ +35% |
| UPMC Health Plan | CHIP | $1,435.39 | ↑ +126% |
| BCBS of Western NY | Medicare Advantage | $1,470.59 | ↑ +131% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Complx repair fccmnaxghf 13133 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $660.60 | $262.09 – $1,435.39 |
| UPMC Bedford | Everett | $604.80 | $252.00 – $907.20 |
| UPMC Carlisle | Carlisle | $1,089.00 | $141.10 – $1,542.75 |
| UPMC Community Osteopathic | Harrisburg | $1,089.00 | $141.10 – $1,542.75 |
| UPMC East | Monroeville | $1,380.00 | $262.09 – $1,840.00 |
| UPMC Hamot | Erie | $596.40 | $262.09 – $1,782.09 |
| UPMC Northwest | Seneca | $1,718.40 | $262.09 – $704.93 |
| UPMC Hanover | Hanover | $1,089.00 | $141.10 – $1,435.39 |