Ghs closed tx bimalleolar fracture w/manip at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,479.00
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.
$2,465.00
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.
$107.55 with Highmark BCBS of PA vs $2,601.16 with Highmark BCBS of PA — 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 | $107.55 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $108.64 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $108.64 | ↓ -93% |
| United Healthcare | Medicare | $108.64 | ↓ -93% |
| Humana | Medicare | $109.73 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $111.36 | ↓ -92% |
| AmeriHealth Caritas | Medicaid | $111.36 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $112.52 | ↓ -92% |
| Cigna | Medicare | $114.07 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $117.33 | ↓ -92% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $117.33 | ↓ -92% |
| Aetna | Medicare | $118.34 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $155.20 | ↓ -90% |
| Geisinger | Medicaid | $213.40 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $213.40 | ↓ -86% |
| UPMC Health Plan | Commercial | $271.60 | ↓ -82% |
| Geisinger | Commercial | $291.00 | ↓ -80% |
| InterGroup | PPO | $310.40 | ↓ -79% |
| Humana | Commercial | $310.40 | ↓ -79% |
| Galaxy Health Plan | Commercial | $310.40 | ↓ -79% |
| Multiplan | Worker's Compensation | $310.40 | ↓ -79% |
| Multiplan | PPO/Auto | $310.40 | ↓ -79% |
| Aetna | Commercial | $318.16 | ↓ -78% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $1,114.22 | ↓ -25% |
| UPMC Health Plan | CHIP | $1,732.25 | ↑ +17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,136.07 | ↑ +44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,136.07 | ↑ +44% |
| Highmark BCBS of PA | Managed Care | $2,601.16 | ↑ +76% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,601.16 | ↑ +76% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Ghs closed tx bimalleolar fracture w/manip at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,275.20 | $545.04 – $3,033.60 |
| UPMC Bedford | Everett | $1,214.40 | $550.51 – $1,821.60 |
| UPMC Carlisle | Carlisle | $2,055.00 | $469.23 – $2,911.25 |
| UPMC Community Osteopathic | Harrisburg | $2,055.00 | $685.00 – $2,911.25 |
| UPMC East | Monroeville | $2,281.20 | $550.23 – $3,041.60 |
| UPMC Hamot | Erie | $2,337.60 | $545.04 – $2,219.16 |
| UPMC Northwest | Seneca | $3,032.40 | $818.30 – $1,647.86 |
| UPMC Hanover | Hanover | $2,055.00 | $1,016.56 – $2,446.19 |