Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,004.40
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.
$1,674.00
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.
$275.62 with Aetna vs $3,155.83 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $275.62 | ↓ -73% |
| Geisinger | Medicaid | $364.85 | ↓ -64% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $395.85 | ↓ -61% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $447.35 | ↓ -55% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $464.03 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $468.72 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $468.72 | ↓ -53% |
| Humana | Medicare | $473.41 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $480.44 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $480.44 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $485.46 | ↓ -52% |
| Cigna | Medicare | $492.16 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $506.22 | ↓ -50% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $506.22 | ↓ -50% |
| Aetna | Medicare | $510.57 | ↓ -49% |
| Highmark Wholecare (prev Gateway) | Medicaid | $669.60 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $1,051.82 | ↑ +5% |
| UPMC Health Plan | Commercial | $1,171.80 | ↑ +17% |
| BCBS of Western NY | Medicare Advantage | $1,192.92 | ↑ +19% |
| Geisinger | Commercial | $1,255.50 | ↑ +25% |
| InterGroup | PPO | $1,339.20 | ↑ +33% |
| Humana | Commercial | $1,339.20 | ↑ +33% |
| Galaxy Health Plan | Commercial | $1,339.20 | ↑ +33% |
| Multiplan | Worker's Compensation | $1,339.20 | ↑ +33% |
| Multiplan | PPO/Auto | $1,339.20 | ↑ +33% |
| Aetna | Commercial | $1,372.68 | ↑ +37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,591.57 | ↑ +158% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,591.57 | ↑ +158% |
| UPMC Health Plan | CHIP | $2,638.05 | ↑ +163% |
| Highmark BCBS of PA | Managed Care | $3,155.83 | ↑ +214% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,155.83 | ↑ +214% |
Visitor-reported prices
Comments
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $6,501.60 | $333.38 – $9,210.60 |
| UPMC Hanover | Hanover | $6,501.60 | $333.38 – $4,959.33 |
| UPMC Lititz | Lititz | $6,501.60 | $333.38 – $4,986.11 |
| UPMC Williamsport | Williamsport | $5,397.60 | $288.75 – $1,244.03 |
| Uniontown Hospital | Uniontown | $4,810.50 | $205.80 – $6,587.02 |
| UPMC Altoona | Altoona | not published | $262.50 – $3,340.82 |
| UPMC Community Osteopathic | Harrisburg | not published | $354.38 – $5,805.45 |
| UPMC East | Monroeville | not published | $288.75 – $3,402.68 |