Complx repair trunk addl 5cm/< 13102 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$399.60
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.
$666.00
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.
$69.30 with Highmark BCBS of PA vs $1,470.59 with BCBS of Western NY — 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 | $69.30 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $70.00 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $70.00 | ↓ -82% |
| Humana | Medicare | $70.70 | ↓ -82% |
| AmeriHealth Caritas | Medicaid | $71.75 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $71.75 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $72.50 | ↓ -82% |
| Cigna | Medicare | $73.50 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $75.60 | ↓ -81% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $75.60 | ↓ -81% |
| Aetna | Medicare | $76.25 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $100.00 | ↓ -75% |
| Geisinger | Medicaid | $137.50 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $137.50 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $152.06 | ↓ -62% |
| UPMC Health Plan | Commercial | $175.00 | ↓ -56% |
| United Healthcare | Medicare | $186.48 | ↓ -53% |
| Geisinger | Commercial | $187.50 | ↓ -53% |
| InterGroup | PPO | $200.00 | ↓ -50% |
| Humana | Commercial | $200.00 | ↓ -50% |
| Galaxy Health Plan | Commercial | $200.00 | ↓ -50% |
| Multiplan | Worker's Compensation | $200.00 | ↓ -50% |
| Multiplan | PPO/Auto | $200.00 | ↓ -50% |
| Aetna | Commercial | $205.00 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $487.76 | ↑ +22% |
| Highmark BCBS of PA | Managed Care - Social Mission | $487.76 | ↑ +22% |
| Highmark BCBS of PA | Managed Care | $593.94 | ↑ +49% |
| Highmark BCBS of PA | Commercial - Indemnity | $593.94 | ↑ +49% |
| UPMC Health Plan | CHIP | $799.40 | ↑ +100% |
| BCBS of Western NY | Medicare Advantage | $1,470.59 | ↑ +268% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair trunk addl 5cm/< 13102 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $741.60 | $82.10 – $1,050.60 |
| UPMC Community Osteopathic | Harrisburg | $741.60 | $82.10 – $1,050.60 |
| UPMC Hanover | Hanover | $741.60 | $82.10 – $799.40 |
| UPMC Jameson | New Castle | $431.40 | $62.62 – $799.40 |
| UPMC Lititz | Lititz | $741.60 | $62.62 – $799.40 |
| UPMC Memorial | York | $741.60 | $62.62 – $799.40 |
| UPMC Mercy | Pittsburgh | $931.20 | $167.84 – $502.24 |
| UPMC Muncy | Muncy | $1,095.60 | $80.22 – $162.67 |