Trmt of fracture (femoral shaft) 27500 at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,656.00
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.
$2,760.00
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.
$123.91 with Highmark BCBS of PA vs $2,857.18 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $123.91 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $125.16 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $125.16 | ↓ -92% |
| United Healthcare | Medicare | $125.16 | ↓ -92% |
| Humana | Medicare | $126.41 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $128.29 | ↓ -92% |
| AmeriHealth Caritas | Medicaid | $128.29 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $129.63 | ↓ -92% |
| Cigna | Medicare | $131.42 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $135.17 | ↓ -92% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $135.17 | ↓ -92% |
| Aetna | Medicare | $136.34 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $178.80 | ↓ -89% |
| Aetna | CHIP/Medicaid | $245.18 | ↓ -85% |
| UPMC Health Plan | Commercial | $312.90 | ↓ -81% |
| Geisinger | Medicaid | $324.54 | ↓ -80% |
| Geisinger | Commercial | $335.25 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $352.12 | ↓ -79% |
| InterGroup | PPO | $357.60 | ↓ -78% |
| Humana | Commercial | $357.60 | ↓ -78% |
| Galaxy Health Plan | Commercial | $357.60 | ↓ -78% |
| Multiplan | Worker's Compensation | $357.60 | ↓ -78% |
| Multiplan | PPO/Auto | $357.60 | ↓ -78% |
| Aetna | Commercial | $366.54 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $397.93 | ↓ -76% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $1,213.22 | ↓ -27% |
| UPMC Health Plan | CHIP | $1,714.55 | ↑ +4% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,346.32 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,346.32 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,857.18 | ↑ +73% |
| Highmark BCBS of PA | Managed Care | $2,857.18 | ↑ +73% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Trmt of fracture (femoral shaft) 27500 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $759.00 | $173.31 – $1,269.65 |
| UPMC Community Osteopathic | Harrisburg | $759.00 | $233.61 – $1,714.55 |
| UPMC Hanover | Hanover | $759.00 | $226.87 – $1,271.47 |
| UPMC Lititz | Lititz | $759.00 | $228.10 – $1,269.65 |
| UPMC Memorial | York | $759.00 | $239.91 – $1,271.47 |
| UPMC Muncy | Muncy | $729.60 | $256.85 – $1,335.32 |
| UPMC Somerset | Somerset | $759.00 | $226.41 – $1,213.22 |
| UPMC Wellsboro | Wellsboro | $882.40 | $256.85 – $1,213.22 |