Coudersport, PA
See all hospitals reporting CPT 28615-AS →Price type
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 | $215 | $215 | — | — | — | $215 – $215 |
| 2 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $218 | $218 | — | — | — | $218 – $218 |
| 3 | Humana medicare facility · percent of total billed charges · outpatientfrom % of charges | $220 | $220 | — | — | — | $220 – $220 |
| 4 | Amerihealth Caritas community healthchoices (chc) facility · percent of total billed charges · outpatientfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 5 | Amerihealth Caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 6 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $228 | $228 | — | — | — | $228 – $228 |
| 7 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $237 | $237 | — | — | — | $237 – $237 |
| 8 | Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges | $311 | $311 | — | — | — | $311 – $311 |
| 9 | Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges | $490 | $490 | — | — | — | $490 – $490 |
| 10 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $490 | $490 | — | — | — | $490 – $490 |
| 11 | Highmark commercial - indemnity facility · percent of total billed charges · outpatientfrom % of charges | $591 | $591 | — | — | — | $591 – $591 |
| 12 | Highmark managed care facility · percent of total billed charges · outpatientfrom % of charges | $591 | $591 | — | — | — | $591 – $591 |
| 13 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $622 | $622 | — | — | — | $622 – $622 |
| 14 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $622 | $622 | — | — | — | $622 – $622 |
| 15 | MultiPlan ppo/auto facility · percent of total billed charges · inpatientfrom % of charges | $622 | $622 | — | — | — | $622 – $622 |
| 16 | MultiPlan ppo/auto facility · percent of total billed charges · outpatientfrom % of charges | $622 | $622 | — | — | — | $622 – $622 |
| 17 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $622 | $622 | — | — | — | $622 – $622 |
| 18 | MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $622 | $622 | — | — | — | $622 – $622 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $637 | $637 | — | — | — | $637 – $637 |
Last updated: Mar 6, 2026
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