Support clav 29.6-40.5in med at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$108.00
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.
$180.00
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.
$34.20 with Health Partners Plans (Jefferson Health Plan) vs $512.16 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $34.20 | ↓ -68% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $49.90 | ↓ -54% |
| United Healthcare | Medicare | $50.40 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $50.40 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $50.40 | ↓ -53% |
| Humana | Medicare | $50.90 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $51.66 | ↓ -52% |
| AmeriHealth Caritas | Medicaid | $51.66 | ↓ -52% |
| Cigna | Medicare | $52.92 | ↓ -51% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $54.43 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $54.43 | ↓ -50% |
| Aetna | Medicare | $54.90 | ↓ -49% |
| Geisinger | Medicaid | $59.40 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $64.80 | ↓ -40% |
| United Healthcare | Commercial | $99.00 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $99.00 | ↓ -8% |
| UPMC Health Plan | Managed Medicaid | $111.60 | ↑ +3% |
| UPMC Work Partners | Workers Comp | $114.97 | ↑ +6% |
| UPMC Health Plan | Commercial | $126.00 | ↑ +17% |
| Geisinger | Commercial | $135.00 | ↑ +25% |
| InterGroup | PPO | $144.00 | ↑ +33% |
| Humana | Commercial | $144.00 | ↑ +33% |
| Galaxy Health Plan | Commercial | $144.00 | ↑ +33% |
| Multiplan | Worker's Compensation | $144.00 | ↑ +33% |
| Multiplan | PPO/Auto | $144.00 | ↑ +33% |
| Aetna | Commercial | $147.60 | ↑ +37% |
| UPMC Health Plan | CHIP | $299.94 | ↑ +178% |
| Highmark BCBS of PA | Managed Care - Social Mission | $420.58 | ↑ +289% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $420.58 | ↑ +289% |
| Highmark BCBS of PA | Managed Care | $512.16 | ↑ +374% |
| Highmark BCBS of PA | Commercial - Indemnity | $512.16 | ↑ +374% |
Visitor-reported prices
Comments
Support clav 29.6-40.5in med at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $180.60 | $57.19 – $299.94 |
| UPMC Bedford | Everett | $128.40 | $40.66 – $299.94 |
| UPMC East | Monroeville | $47.40 | $15.01 – $299.94 |
| UPMC Hamot | Erie | $170.40 | $80.56 – $114.97 |
| UPMC Northwest | Seneca | $165.00 | $114.97 – $362.95 |
| UPMC Horizon-Greenville | Greenville | $128.40 | $114.97 – $299.94 |
| UPMC Jameson | New Castle | $40.80 | $36.07 – $299.94 |
| UPMC Magee | Pittsburgh | $128.40 | $39.68 – $299.94 |