Incisn of toe tndn at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$743.40
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.
$1,239.00
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.
$137.55 with Aetna vs $2,094.25 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 | $137.55 | ↓ -81% |
| Geisinger | Medicaid | $182.08 | ↓ -76% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $187.66 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $189.56 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $189.56 | ↓ -75% |
| Humana | Medicare | $191.46 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $194.30 | ↓ -74% |
| AmeriHealth Caritas | Medicaid | $194.30 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $196.33 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $197.55 | ↓ -73% |
| Cigna | Medicare | $199.04 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $204.72 | ↓ -72% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $204.72 | ↓ -72% |
| Aetna | Medicare | $206.49 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $223.25 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $270.80 | ↓ -64% |
| United Healthcare | Medicare | $346.92 | ↓ -53% |
| UPMC Health Plan | Commercial | $473.90 | ↓ -36% |
| Geisinger | Commercial | $507.75 | ↓ -32% |
| InterGroup | PPO | $541.60 | ↓ -27% |
| Humana | Commercial | $541.60 | ↓ -27% |
| Galaxy Health Plan | Commercial | $541.60 | ↓ -27% |
| Multiplan | Worker's Compensation | $541.60 | ↓ -27% |
| Multiplan | PPO/Auto | $541.60 | ↓ -27% |
| Aetna | Commercial | $555.14 | ↓ -25% |
| UPMC Work Partners | Workers Comp | $620.51 | ↓ -17% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,028.63 | ↑ +38% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,028.63 | ↑ +38% |
| UPMC Health Plan | CHIP | $1,047.87 | ↑ +41% |
| Highmark BCBS of PA | Managed Care | $1,252.59 | ↑ +68% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,252.59 | ↑ +68% |
| BCBS of Western NY | Medicare Advantage | $2,094.25 | ↑ +182% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Incisn of toe tndn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $1,959.60 | $144.10 – $2,219.16 |
| UPMC Horizon-Greenville | Greenville | $1,663.20 | $144.10 – $1,647.86 |
| UPMC Jameson | New Castle | $1,663.20 | $144.10 – $2,059.83 |
| UPMC Mercy | Pittsburgh | $1,608.60 | $144.10 – $1,678.38 |
| UPMC Passavant-McCandless | Pittsburgh | $1,815.00 | $144.10 – $1,678.38 |
| UPMC Wellsboro | Wellsboro | $366.00 | $144.10 – $993.28 |
| UPMC Williamsport | Williamsport | $1,520.40 | $144.10 – $1,632.61 |
| Uniontown Hospital | Uniontown | $2,366.50 | $144.10 – $3,237.13 |