Tx closed tib fx proximal w/w/o manip w/skel trac at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$2,162.40
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.
$3,604.00
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.
$238.88 with Aetna vs $3,380.24 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 | $238.88 | ↓ -89% |
| Geisinger | Medicaid | $316.20 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $343.07 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $387.71 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $472.63 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $477.40 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $477.40 | ↓ -78% |
| Humana | Medicare | $482.17 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $489.33 | ↓ -77% |
| AmeriHealth Caritas | Medicaid | $489.33 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $494.45 | ↓ -77% |
| Cigna | Medicare | $501.27 | ↓ -77% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $515.59 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $515.59 | ↓ -76% |
| Aetna | Medicare | $520.02 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $682.00 | ↓ -68% |
| BCBS of Western NY | Medicare Advantage | $771.51 | ↓ -64% |
| United Healthcare | Medicare | $1,009.12 | ↓ -53% |
| UPMC Health Plan | Commercial | $1,193.50 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $1,208.92 | ↓ -44% |
| Geisinger | Commercial | $1,278.75 | ↓ -41% |
| InterGroup | PPO | $1,364.00 | ↓ -37% |
| Humana | Commercial | $1,364.00 | ↓ -37% |
| Galaxy Health Plan | Commercial | $1,364.00 | ↓ -37% |
| Multiplan | Worker's Compensation | $1,364.00 | ↓ -37% |
| Multiplan | PPO/Auto | $1,364.00 | ↓ -37% |
| Aetna | Commercial | $1,398.10 | ↓ -35% |
| UPMC Health Plan | CHIP | $1,731.18 | ↓ -20% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,775.85 | ↑ +28% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,775.85 | ↑ +28% |
| Highmark BCBS of PA | Managed Care | $3,380.24 | ↑ +56% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,380.24 | ↑ +56% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Tx closed tib fx proximal w/w/o manip w/skel trac at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $2,335.80 | $250.25 – $4,499.05 |
| UPMC Horizon-Greenville | Greenville | $2,396.40 | $250.25 – $3,340.82 |
| UPMC Mercy | Pittsburgh | $3,015.00 | $250.25 – $3,402.68 |
| UPMC Passavant-McCandless | Pittsburgh | $3,316.20 | $250.25 – $3,402.68 |
| UPMC Presbyterian | Pittsburgh | $3,594.00 | $250.25 – $3,402.68 |
| UPMC Wellsboro | Wellsboro | $4,518.40 | $250.25 – $1,208.92 |
| UPMC Williamsport | Williamsport | $3,355.20 | $250.25 – $3,309.88 |
| Uniontown Hospital | Uniontown | $3,760.50 | $131.25 – $6,587.02 |