Splint dorsal bloc wh med perf 3.2mm lf polyflex ii at UPMC Cole

1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 13, 2026

$465.60

Cash price

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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.

$776.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$147.44 with Health Partners Plans (Jefferson Health Plan) vs $3,221.91 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 →

Payer
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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
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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
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $147.44 ↓ -68%
UPMC Health Plan CHIP $181.66 ↓ -61%
Highmark BCBS of PA Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage $215.11 ↓ -54%
UPMC Health Plan Managed Medicare $217.28 ↓ -53%
AmeriHealth Caritas Medicare $217.28 ↓ -53%
United Healthcare Medicare $217.28 ↓ -53%
Humana Medicare $219.45 ↓ -53%
AmeriHealth Caritas Community HealthChoices (CHC) $222.71 ↓ -52%
AmeriHealth Caritas Medicaid $222.71 ↓ -52%
Cigna Medicare $228.14 ↓ -51%
PA Health & Wellness Medicare Advantage (Allwell by Wellcare) $234.66 ↓ -50%
PA Health & Wellness Allwell Medicare Advantage DSNP $234.66 ↓ -50%
Aetna Medicare $236.68 ↓ -49%
Geisinger Medicaid $256.08 ↓ -45%
Highmark Wholecare (prev Gateway) Medicaid $279.36 ↓ -40%
United Healthcare Commercial $426.80 ↓ -8%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $426.80 ↓ -8%
UPMC Health Plan Managed Medicaid $481.12 ↑ +3%
UPMC Health Plan Commercial $543.20 ↑ +17%
Geisinger Commercial $582.00 ↑ +25%
InterGroup PPO $620.80 ↑ +33%
Humana Commercial $620.80 ↑ +33%
Galaxy Health Plan Commercial $620.80 ↑ +33%
Multiplan Worker's Compensation $620.80 ↑ +33%
Multiplan PPO/Auto $620.80 ↑ +33%
Aetna Commercial $636.32 ↑ +37%
UPMC Work Partners Workers Comp $723.38 ↑ +55%
Highmark BCBS of PA Managed Care - Social Mission $2,645.85 ↑ +468%
Highmark BCBS of PA Commercial - Social Mission Indemnity $2,645.85 ↑ +468%
Highmark BCBS of PA Managed Care $3,221.91 ↑ +592%
Highmark BCBS of PA Commercial - Indemnity $3,221.91 ↑ +592%

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Splint dorsal bloc wh med perf 3.2mm lf polyflex ii at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Muncy Muncy $542.40 $320.00 – $773.85
UPMC Passavant-McCandless Pittsburgh $2,893.80 $263.62 – $841.14
UPMC Wellsboro Wellsboro $656.00 $320.00 – $723.38
WellSpan Chambersburg Hospital Chambersburg $552.00 $312.50 – $2,096.22
WellSpan Ephrata Community Hospital Ephrata $637.60 $312.50 – $850.00
WellSpan Surgery & Rehabilitation Hospital York PA 17403 $552.80 $471.24 – $850.00
WellSpan Waynesboro Hospital Waynesboro $552.00 $50.63 – $1,602.22
WellSpan Good Samaritan Hospital Lebanon $147.20 $312.50 – $824.67

All Pennsylvania hospitals for this procedure →