Treat kneecap dislocation at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,520.40
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.
$2,534.00
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.
$141.22 with Aetna vs $2,675.19 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 | $141.22 | ↓ -91% |
| Geisinger | Medicaid | $186.94 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $202.83 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $229.21 | ↓ -85% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $331.25 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $334.60 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $334.60 | ↓ -78% |
| Humana | Medicare | $337.95 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $342.96 | ↓ -77% |
| AmeriHealth Caritas | Medicaid | $342.96 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $346.55 | ↓ -77% |
| Cigna | Medicare | $351.33 | ↓ -77% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $361.37 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $361.37 | ↓ -76% |
| Aetna | Medicare | $364.48 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $478.00 | ↓ -69% |
| United Healthcare | Medicare | $709.52 | ↓ -53% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↓ -49% |
| UPMC Health Plan | Commercial | $836.50 | ↓ -45% |
| Geisinger | Commercial | $896.25 | ↓ -41% |
| UPMC Work Partners | Workers Comp | $924.91 | ↓ -39% |
| InterGroup | PPO | $956.00 | ↓ -37% |
| Humana | Commercial | $956.00 | ↓ -37% |
| Galaxy Health Plan | Commercial | $956.00 | ↓ -37% |
| Multiplan | Worker's Compensation | $956.00 | ↓ -37% |
| Multiplan | PPO/Auto | $956.00 | ↓ -37% |
| Aetna | Commercial | $979.90 | ↓ -36% |
| UPMC Health Plan | CHIP | $1,715.11 | ↑ +13% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,196.86 | ↑ +44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,196.86 | ↑ +44% |
| Highmark BCBS of PA | Managed Care | $2,675.19 | ↑ +76% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,675.19 | ↑ +76% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Treat kneecap dislocation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $2,812.80 | $147.95 – $3,750.40 |
| UPMC Hamot | Erie | $3,037.20 | $147.95 – $982.57 |
| UPMC Northwest | Seneca | $3,197.40 | $147.95 – $1,041.47 |
| UPMC Mercy | Pittsburgh | $2,554.80 | $147.95 – $1,131.33 |
| UPMC Muncy | Muncy | $1,931.40 | $147.95 – $1,051.12 |
| UPMC Passavant-McCandless | Pittsburgh | $3,237.00 | $147.95 – $1,142.52 |
| UPMC Presbyterian | Pittsburgh | $2,586.00 | $147.95 – $1,315.50 |
| UPMC Wellsboro | Wellsboro | $2,336.00 | $147.95 – $993.28 |