Debridement bone <= 20 sq cm at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,353.00
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.
$2,255.00
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.
$34.65 with Aetna vs $2,316.72 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 | $34.65 | ↓ -97% |
| Geisinger | Medicaid | $45.87 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $49.76 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $56.24 | ↓ -96% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $79.28 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $80.08 | ↓ -94% |
| United Healthcare | Medicare | $80.08 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $80.08 | ↓ -94% |
| Humana | Medicare | $80.88 | ↓ -94% |
| AmeriHealth Caritas | Medicaid | $82.08 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $82.08 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $82.94 | ↓ -94% |
| Cigna | Medicare | $84.08 | ↓ -94% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $86.49 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $86.49 | ↓ -94% |
| Aetna | Medicare | $87.23 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $114.40 | ↓ -92% |
| UPMC Health Plan | Commercial | $200.20 | ↓ -85% |
| Geisinger | Commercial | $214.50 | ↓ -84% |
| InterGroup | PPO | $228.80 | ↓ -83% |
| Humana | Commercial | $228.80 | ↓ -83% |
| Galaxy Health Plan | Commercial | $228.80 | ↓ -83% |
| Multiplan | Worker's Compensation | $228.80 | ↓ -83% |
| Multiplan | PPO/Auto | $228.80 | ↓ -83% |
| Aetna | Commercial | $234.52 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $503.19 | ↓ -63% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↓ -23% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,368.76 | ↑ +1% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,368.76 | ↑ +1% |
| Highmark BCBS of PA | Managed Care | $1,666.79 | ↑ +23% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,666.79 | ↑ +23% |
| UPMC Health Plan | CHIP | $2,316.72 | ↑ +71% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Debridement bone <= 20 sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,656.00 | $33.00 – $2,208.00 |
| UPMC Bedford | Everett | $4,799.40 | $34.65 – $7,199.10 |
| UPMC Carlisle | Carlisle | $2,320.80 | $41.91 – $3,287.80 |
| UPMC Community Osteopathic | Harrisburg | $2,320.80 | $41.91 – $3,287.80 |
| UPMC Hamot | Erie | $3,124.80 | $36.30 – $2,246.66 |
| UPMC Northwest | Seneca | $2,359.20 | $36.30 – $1,621.93 |
| UPMC Hanover | Hanover | $2,320.80 | $41.91 – $2,476.51 |
| UPMC Horizon-Greenville | Greenville | $2,214.00 | $36.30 – $1,668.28 |