Debridement/bone/20 sq cm or less 11046 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$316.20
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.
$527.00
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.
$11.64 with Highmark BCBS of PA vs $1,041.88 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 | $11.64 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $11.76 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $11.76 | ↓ -96% |
| United Healthcare | Medicare | $11.76 | ↓ -96% |
| Humana | Medicare | $11.88 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $12.05 | ↓ -96% |
| AmeriHealth Caritas | Medicaid | $12.05 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $12.18 | ↓ -96% |
| Cigna | Medicare | $12.35 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $12.70 | ↓ -96% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $12.70 | ↓ -96% |
| Aetna | Medicare | $12.81 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.80 | ↓ -95% |
| Geisinger | Medicaid | $23.10 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $23.10 | ↓ -93% |
| UPMC Health Plan | Commercial | $29.40 | ↓ -91% |
| Geisinger | Commercial | $31.50 | ↓ -90% |
| InterGroup | PPO | $33.60 | ↓ -89% |
| Humana | Commercial | $33.60 | ↓ -89% |
| Galaxy Health Plan | Commercial | $33.60 | ↓ -89% |
| Multiplan | Worker's Compensation | $33.60 | ↓ -89% |
| Multiplan | PPO/Auto | $33.60 | ↓ -89% |
| Aetna | Commercial | $34.44 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $80.89 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $304.66 | ↓ -4% |
| Highmark BCBS of PA | Managed Care - Social Mission | $304.66 | ↓ -4% |
| Highmark BCBS of PA | Managed Care | $370.99 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity | $370.99 | ↑ +17% |
| UPMC Health Plan | CHIP | $443.35 | ↑ +40% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +230% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Debridement/bone/20 sq cm or less 11046 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $704.40 | $80.89 – $939.20 |
| UPMC Carlisle | Carlisle | $822.00 | $39.86 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $147.00 | $208.25 – $208.25 |
| UPMC Hamot | Erie | $1,602.60 | $80.89 – $550.44 |
| UPMC Northwest | Seneca | $1,632.00 | $80.89 – $255.74 |
| UPMC Hanover | Hanover | $822.00 | $39.86 – $443.35 |
| UPMC Horizon-Greenville | Greenville | $811.20 | $80.89 – $240.50 |
| UPMC Jameson | New Castle | $765.60 | $34.99 – $443.35 |