ASSIST TX HUM SHAFT FX IM NAIL at UPMC Cole

Coudersport, PA

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Pricing by billing methodology

Price type

Payers reporting CPT 24516-AS at UPMC Cole

Negotiated rates from the hospital’s own file: 6 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Highmark community blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$260	$260	—	—	—	$260 – $260
2	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$263	$263	—	—	—	$263 – $263
3	Humana medicare facility · percent of total billed charges · outpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
4	Amerihealth Caritas community healthchoices (chc) facility · percent of total billed charges · outpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
5	Amerihealth Caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
6	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$276	$276	—	—	—	$276 – $276
7	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$286	$286	—	—	—	$286 – $286
8	Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges	$376	$376	—	—	—	$376 – $376
9	Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges	$592	$592	—	—	—	$592 – $592
10	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$592	$592	—	—	—	$592 – $592
11	Highmark commercial - indemnity facility · percent of total billed charges · outpatientfrom % of charges	$714	$714	—	—	—	$714 – $714
12	Highmark managed care facility · percent of total billed charges · outpatientfrom % of charges	$714	$714	—	—	—	$714 – $714
13	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
14	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
15	MultiPlan ppo/auto facility · percent of total billed charges · inpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
16	MultiPlan ppo/auto facility · percent of total billed charges · outpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
17	MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
18	MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
19	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$770	$770	—	—	—	$770 – $770

Last updated: Mar 6, 2026

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