UPMC · Coudersport, PA
32
In-network payers
270
Disclosed rate categories
49
Beds
4
Care quality
Upmc Cole is a 49-bed voluntary non-profit - private hospital in Coudersport, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 270 disclosed rate categories.
CCN (Medicare provider number)
391313
NPI
1326161662
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
49
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Cole most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$4,925 - $6,005
from 3 insurers · median $5,438
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$7,159 - $8,277
from 3 insurers · median $7,744
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$433 - $1,634
from 4 insurers · median $1,323
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$1,300 - $9,829
from 4 insurers · median $9,053
Hospital reports pet scan services to CMS
CT imaging
CPT 70450
$136 - $1,279
from 4 insurers · median $641
Typical for a hospital with this service line
Mammography
CPT 77067
$173 - $574
from 4 insurers · median $323
Typical for a hospital with this service line
CT imaging
CPT 74176
$222 - $1,354
from 4 insurers · median $966
Typical for a hospital with this service line
CT imaging
CPT 71275
$345 - $1,279
from 4 insurers · median $1,195
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$4,925 - $6,005
from 3 insurers · median $5,438
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$239 - $977
from 4 insurers · median $781
Typical for a hospital with this service line
MRI imaging
CPT 70553
$433 - $2,180
from 4 insurers · median $1,704
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$730 - $2,356
from 4 insurers · median $2,145
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 71046
$48 - $176
from 4 insurers · median $163
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$306 - $2,458
from 4 insurers · median $960
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$317 - $1,783
from 4 insurers · median $709
Typical for a hospital with this service line
MRI imaging
CPT 72148
$257 - $1,977
from 4 insurers · median $1,009
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$15,622 - $17,362
from 3 insurers · median $16,358
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 74183
$458 - $2,187
from 4 insurers · median $1,805
Typical for a hospital with this service line
MRI imaging
CPT 70551
$263 - $1,977
from 4 insurers · median $972
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$788 - $1,172
from 3 insurers · median $830
Typical for a hospital with this service line
Ultrasound
CPT 76705
$101 - $370
from 4 insurers · median $295
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$10,899 - $11,324
from 2 insurers · median $11,112
Hospital reports inpatient surgical services to CMS
Cardiology and vascular testing
CPT 93971
$148 - $464
from 4 insurers · median $429
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$62 - $410
from 4 insurers · median $286
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 19 | 458% | 13 | 0 |
| Insurer B* | 24 | 384% | 0 | 0 |
| Insurer C* | 24 | 345% | 15 | 3 |
| Insurer D* | 22 | 100% | 2 | 15 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Cole.
1001 East Second Street, Coudersport, PA 16915
(814) 274-9301
The nearest hospitals of similar type and size. Their rates are compared with Upmc Cole for the same insurers and services above.
Cuba Memorial Hospital Inc
▼ Rates typically 73% lower than Upmc Cole (19 services)
Bucktail Medical Center
▼ Rates typically 44% lower than Upmc Cole (14 services)
Penn Highlands Elk
Rates about the same as Upmc Cole (21 services)
Geisinger Jersey Shore Hospital
▼ Rates typically 10% lower than Upmc Cole (21 services)
Troy Community Hospital
▲ Rates typically 79% higher than Upmc Cole (20 services)
Schuyler Hospital
▲ Rates typically 12% higher than Upmc Cole (20 services)
Upmc Wellsboro
Upmc Muncy
Tyrone Hospital
Titusville Area Hospital
About Upmc Cole's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Cole range from $433 to $2,180 across 4 insurers. Blue Cross Blue Shield's rate is $1,431. The median at nearby comparable hospitals is $728. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Cole range from $433 to $1,634 across 4 insurers. Aetna's rate is $433. The median at nearby comparable hospitals is $828. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Cole range from $306 to $2,458 across 4 insurers. Blue Cross Blue Shield's rate is $2,458. The median at nearby comparable hospitals is $1,487. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upmc Cole range from $4,925 to $6,005 across 3 insurers. UnitedHealthcare's rate is $6,005. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Cole range from $173 to $574 across 4 insurers. UnitedHealthcare's rate is $212. The median at nearby comparable hospitals is $212. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upmc Cole range from $15,622 to $17,362 across 3 insurers. Blue Cross Blue Shield's rate is $15,622. The median at nearby comparable hospitals is $18,302. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Cole has 49 beds. Facility type: Critical Access Hospital.
Upmc Cole is located at 1001 East Second Street, Coudersport, PA 16915. Its main phone number is (814) 274-9301.
Upmc Cole's CMS Certification Number (CCN), also called its Medicare provider number, is 391313.
The National Provider Identifier (NPI) on file for Upmc Cole is 1326161662.
Upmc Cole is affiliated with UPMC.
Upmc Cole lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
270 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers