Ghs simple repair 7.6 - 12.5 cm - 12004 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$554.40
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.
$924.00
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.
$50.92 with Aetna vs $2,325.85 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $50.92 | ↓ -91% |
| Geisinger | Medicaid | $67.41 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $73.14 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $82.65 | ↓ -85% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $157.73 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $159.32 | ↓ -71% |
| UPMC Health Plan | Managed Medicare | $159.32 | ↓ -71% |
| Humana | Medicare | $160.91 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $163.30 | ↓ -71% |
| AmeriHealth Caritas | Medicaid | $163.30 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $165.01 | ↓ -70% |
| Cigna | Medicare | $167.29 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $172.07 | ↓ -69% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $172.07 | ↓ -69% |
| Aetna | Medicare | $173.54 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $227.60 | ↓ -59% |
| United Healthcare | Medicare | $258.72 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $332.97 | ↓ -40% |
| UPMC Health Plan | Commercial | $398.30 | ↓ -28% |
| Geisinger | Commercial | $426.75 | ↓ -23% |
| InterGroup | PPO | $455.20 | ↓ -18% |
| Humana | Commercial | $455.20 | ↓ -18% |
| Galaxy Health Plan | Commercial | $455.20 | ↓ -18% |
| Multiplan | Worker's Compensation | $455.20 | ↓ -18% |
| Multiplan | PPO/Auto | $455.20 | ↓ -18% |
| Aetna | Commercial | $466.58 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $583.57 | ↑ +5% |
| Highmark BCBS of PA | Managed Care - Social Mission | $583.57 | ↑ +5% |
| UPMC Health Plan | CHIP | $635.66 | ↑ +15% |
| Highmark BCBS of PA | Managed Care | $710.63 | ↑ +28% |
| Highmark BCBS of PA | Commercial - Indemnity | $710.63 | ↑ +28% |
| BCBS of Western NY | Medicare Advantage | $2,325.85 | ↑ +320% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $819.60 | $48.50 – $1,092.80 |
| UPMC Bedford | Everett | $454.20 | $50.92 – $681.30 |
| UPMC Carlisle | Carlisle | $808.20 | $61.59 – $1,144.95 |
| UPMC Community Osteopathic | Harrisburg | $808.20 | $61.59 – $1,144.95 |
| UPMC East | Monroeville | $856.80 | $53.35 – $1,142.40 |
| UPMC Hamot | Erie | $856.20 | $53.35 – $333.58 |
| UPMC Northwest | Seneca | $610.80 | $53.35 – $327.02 |
| UPMC Hanover | Hanover | $808.20 | $61.59 – $966.78 |