Explore/treat finger joint at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$717.60
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.
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What you pay up front if you don't use insurance.
$1,196.00
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.
$164.85 with Aetna vs $3,269.62 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 | $164.85 | ↓ -77% |
| Geisinger | Medicaid | $218.21 | ↓ -70% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $236.76 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $267.56 | ↓ -63% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $331.53 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $334.88 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $334.88 | ↓ -53% |
| Humana | Medicare | $338.23 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $343.25 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $343.25 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $346.84 | ↓ -52% |
| Cigna | Medicare | $351.62 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $361.67 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $361.67 | ↓ -50% |
| Aetna | Medicare | $364.78 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $478.40 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $740.38 | ↑ +3% |
| UPMC Health Plan | Commercial | $837.20 | ↑ +17% |
| Geisinger | Commercial | $897.00 | ↑ +25% |
| InterGroup | PPO | $956.80 | ↑ +33% |
| Humana | Commercial | $956.80 | ↑ +33% |
| Galaxy Health Plan | Commercial | $956.80 | ↑ +33% |
| Multiplan | Worker's Compensation | $956.80 | ↑ +33% |
| Multiplan | PPO/Auto | $956.80 | ↑ +33% |
| Aetna | Commercial | $980.72 | ↑ +37% |
| BCBS of Western NY | Medicare Advantage | $1,470.59 | ↑ +105% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,782.36 | ↑ +148% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,782.36 | ↑ +148% |
| Highmark BCBS of PA | Managed Care | $2,170.43 | ↑ +202% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,170.43 | ↑ +202% |
| UPMC Health Plan | CHIP | $3,269.62 | ↑ +356% |
Visitor-reported prices
Comments
Explore/treat finger joint at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,131.00 | $199.39 – $5,852.25 |
| UPMC Community Osteopathic | Harrisburg | $4,131.00 | $199.39 – $5,852.25 |
| UPMC Hanover | Hanover | $4,131.00 | $199.39 – $2,446.19 |
| UPMC Jameson | New Castle | $4,533.00 | $172.70 – $2,059.83 |
| UPMC Lititz | Lititz | $4,131.00 | $199.39 – $2,459.41 |
| UPMC Memorial | York | $4,131.00 | $199.39 – $2,455.41 |
| UPMC Somerset | Somerset | $4,131.00 | $172.70 – $1,525.80 |
| UPMC Williamsport | Williamsport | $6,347.40 | $172.70 – $1,632.61 |