Exc foot/toe tum subq < 1.5 cm 28043 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$501.00
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.
$835.00
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.
$39.38 with Aetna vs $2,297.79 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 | $39.38 | ↓ -92% |
| Geisinger | Medicaid | $52.12 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $56.55 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $63.91 | ↓ -87% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $231.46 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $233.80 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $233.80 | ↓ -53% |
| Humana | Medicare | $236.14 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $239.65 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $239.65 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $242.15 | ↓ -52% |
| Cigna | Medicare | $245.49 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $252.50 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $252.50 | ↓ -50% |
| Aetna | Medicare | $254.68 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $334.00 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $476.47 | ↓ -5% |
| UPMC Health Plan | Commercial | $584.50 | ↑ +17% |
| Geisinger | Commercial | $626.25 | ↑ +25% |
| InterGroup | PPO | $668.00 | ↑ +33% |
| Humana | Commercial | $668.00 | ↑ +33% |
| Galaxy Health Plan | Commercial | $668.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $668.00 | ↑ +33% |
| Multiplan | PPO/Auto | $668.00 | ↑ +33% |
| Aetna | Commercial | $684.70 | ↑ +37% |
| BCBS of Western NY | Medicare Advantage | $1,041.88 | ↑ +108% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,679.94 | ↑ +235% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,679.94 | ↑ +235% |
| Highmark BCBS of PA | Managed Care | $2,045.71 | ↑ +308% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,045.71 | ↑ +308% |
| UPMC Health Plan | CHIP | $2,297.79 | ↑ +359% |
Visitor-reported prices
Comments
Exc foot/toe tum subq < 1.5 cm 28043 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $1,898.50 | $41.25 – $3,324.90 |
| UPMC Altoona | Altoona | not published | $37.50 – $1,668.28 |
| UPMC Carlisle | Carlisle | not published | $47.62 – $2,479.92 |
| UPMC Community Osteopathic | Harrisburg | not published | $50.62 – $5,805.45 |
| UPMC East | Monroeville | not published | $41.25 – $1,699.17 |
| UPMC Lititz | Lititz | not published | $47.62 – $2,489.89 |
| WellSpan Chambersburg Hospital | Chambersburg | not published | $970.00 – $7,451.66 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $8,754.00 – $8,754.00 |