Tx closed hip disl traumatic without anes at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$1,266.00
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.
$2,110.00
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.
$214.88 with Aetna vs $1,714.66 with UPMC Health Plan — 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 | $214.88 | ↓ -83% |
| Geisinger | Medicaid | $284.44 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $308.61 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $348.76 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $421.07 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $425.32 | ↓ -66% |
| UPMC Health Plan | Managed Medicare | $425.32 | ↓ -66% |
| Humana | Medicare | $429.57 | ↓ -66% |
| AmeriHealth Caritas | Medicaid | $435.95 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $435.95 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $440.51 | ↓ -65% |
| Cigna | Medicare | $446.59 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $459.35 | ↓ -64% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $459.35 | ↓ -64% |
| Aetna | Medicare | $463.30 | ↓ -63% |
| United Healthcare | Medicare | $590.80 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicaid | $607.60 | ↓ -52% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↓ -39% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $806.94 | ↓ -36% |
| Highmark BCBS of PA | Managed Care - Social Mission | $806.94 | ↓ -36% |
| Highmark BCBS of PA | Managed Care | $982.64 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Indemnity | $982.64 | ↓ -22% |
| UPMC Health Plan | Commercial | $1,063.30 | ↓ -16% |
| UPMC Work Partners | Workers Comp | $1,091.84 | ↓ -14% |
| Geisinger | Commercial | $1,139.25 | ↓ -10% |
| Humana | Commercial | $1,215.20 | ↓ -4% |
| Multiplan | Worker's Compensation | $1,215.20 | ↓ -4% |
| Multiplan | PPO/Auto | $1,215.20 | ↓ -4% |
| InterGroup | PPO | $1,215.20 | ↓ -4% |
| Galaxy Health Plan | Commercial | $1,215.20 | ↓ -4% |
| Aetna | Commercial | $1,245.58 | ↓ -2% |
| UPMC Health Plan | CHIP | $1,714.66 | ↑ +35% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Tx closed hip disl traumatic without anes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,275.20 | $204.65 – $3,033.60 |
| UPMC Bedford | Everett | $3,584.40 | $82.51 – $5,376.60 |
| UPMC Carlisle | Carlisle | $1,249.20 | $227.18 – $1,769.70 |
| UPMC Community Osteopathic | Harrisburg | $1,249.20 | $233.61 – $1,769.70 |
| UPMC East | Monroeville | $2,281.20 | $225.12 – $3,041.60 |
| UPMC Hamot | Erie | $2,313.60 | $225.12 – $1,120.46 |
| UPMC Northwest | Seneca | $3,032.40 | $207.41 – $939.53 |
| UPMC Hanover | Hanover | $1,249.20 | $226.87 – $983.23 |