Wedging of cast at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$319.80
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.
$533.00
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.
$20.79 with Highmark BCBS of PA vs $530.35 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 | $20.79 | ↓ -93% |
| United Healthcare | Medicare | $21.00 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $21.00 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $21.00 | ↓ -93% |
| Humana | Medicare | $21.21 | ↓ -93% |
| AmeriHealth Caritas | Medicaid | $21.52 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $21.52 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $21.75 | ↓ -93% |
| Cigna | Medicare | $22.05 | ↓ -93% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $22.68 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $22.68 | ↓ -93% |
| Aetna | Medicare | $22.88 | ↓ -93% |
| Aetna | CHIP/Medicaid | $23.10 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $30.00 | ↓ -91% |
| Geisinger | Medicaid | $30.58 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $33.18 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $37.49 | ↓ -88% |
| UPMC Health Plan | Commercial | $52.50 | ↓ -84% |
| Geisinger | Commercial | $56.25 | ↓ -82% |
| InterGroup | PPO | $60.00 | ↓ -81% |
| Multiplan | PPO/Auto | $60.00 | ↓ -81% |
| Multiplan | Worker's Compensation | $60.00 | ↓ -81% |
| Humana | Commercial | $60.00 | ↓ -81% |
| Galaxy Health Plan | Commercial | $60.00 | ↓ -81% |
| Aetna | Commercial | $61.50 | ↓ -81% |
| BCBS of Western NY | Medicare Advantage | $72.80 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $121.60 | ↓ -62% |
| UPMC Health Plan | CHIP | $283.92 | ↓ -11% |
| Highmark BCBS of PA | Managed Care - Social Mission | $435.52 | ↑ +36% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $435.52 | ↑ +36% |
| Highmark BCBS of PA | Managed Care | $530.35 | ↑ +66% |
| Highmark BCBS of PA | Commercial - Indemnity | $530.35 | ↑ +66% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Wedging of cast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $50.18 | $17.59 – $847.74 |
| GROVE CITY HOSPITAL | GROVE CITY | $44.39 | $17.59 – $727.50 |