Treat ankle dislocation at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,580.40
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.
?
What you pay up front if you don't use insurance.
$2,634.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$124.42 with Aetna vs $2,677.67 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $124.42 | ↓ -92% |
| Geisinger | Medicaid | $164.70 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $178.70 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $201.95 | ↓ -87% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $421.34 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $425.60 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $425.60 | ↓ -73% |
| Humana | Medicare | $429.86 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $436.24 | ↓ -72% |
| AmeriHealth Caritas | Medicaid | $436.24 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $440.80 | ↓ -72% |
| Cigna | Medicare | $446.88 | ↓ -72% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $459.65 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $459.65 | ↓ -71% |
| Aetna | Medicare | $463.60 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $608.00 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $722.35 | ↓ -54% |
| United Healthcare | Medicare | $737.52 | ↓ -53% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↓ -51% |
| UPMC Health Plan | Commercial | $1,064.00 | ↓ -33% |
| Geisinger | Commercial | $1,140.00 | ↓ -28% |
| InterGroup | PPO | $1,216.00 | ↓ -23% |
| Humana | Commercial | $1,216.00 | ↓ -23% |
| Galaxy Health Plan | Commercial | $1,216.00 | ↓ -23% |
| Multiplan | Worker's Compensation | $1,216.00 | ↓ -23% |
| Multiplan | PPO/Auto | $1,216.00 | ↓ -23% |
| Aetna | Commercial | $1,246.40 | ↓ -21% |
| UPMC Health Plan | CHIP | $1,730.06 | ↑ +9% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,198.90 | ↑ +39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,198.90 | ↑ +39% |
| Highmark BCBS of PA | Managed Care | $2,677.67 | ↑ +69% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,677.67 | ↑ +69% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Treat ankle dislocation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $3,647.40 | $124.42 – $5,471.10 |
| UPMC Hamot | Erie | $3,449.40 | $130.35 – $2,219.16 |
| UPMC Northwest | Seneca | $3,430.80 | $130.35 – $1,602.09 |
| UPMC Mercy | Pittsburgh | $1,980.00 | $130.35 – $1,678.38 |
| UPMC Muncy | Muncy | $3,135.00 | $130.35 – $1,012.48 |
| UPMC Passavant-McCandless | Pittsburgh | $1,205.40 | $130.35 – $1,678.38 |
| UPMC Presbyterian | Pittsburgh | $3,232.20 | $130.35 – $1,678.38 |
| UPMC St. Margaret | Pittsburgh | $2,574.60 | $130.35 – $1,678.38 |