5.0MM TI LOCKING SCREW W/25 at UPMC Cole

Coudersport, PA

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Pricing by billing methodology

Price type

Payers reporting HCPCS C1317 at UPMC Cole

Negotiated rates from the hospital’s own file: 7 payers, 23 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	$96	$96	—	—	—	$96 – $96
2	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$97	$97	—	—	—	$97 – $97
3	UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges	$97	$97	—	—	—	$97 – $97
4	Humana medicare facility · percent of total billed charges · outpatientfrom % of charges	$98	$98	—	—	—	$98 – $98
5	Amerihealth Caritas community healthchoices (chc) facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
6	Amerihealth Caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
7	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
8	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
9	Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
10	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$191	$191	—	—	—	$191 – $191
11	Amerihealth Caritas community healthchoices (chc) facility · percent of total billed charges · inpatientfrom % of charges	$200	$200	—	—	—	$200 – $200
12	Amerihealth Caritas medicaid facility · percent of total billed charges · inpatientfrom % of charges	$200	$200	—	—	—	$200 – $200
13	Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges	$220	$220	—	—	—	$220 – $220
14	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$220	$220	—	—	—	$220 – $220
15	Highmark commercial - indemnity facility · percent of total billed charges · outpatientfrom % of charges	$264	$264	—	—	—	$264 – $264
16	Highmark managed care facility · percent of total billed charges · outpatientfrom % of charges	$264	$264	—	—	—	$264 – $264
17	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
18	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
19	MultiPlan ppo/auto facility · percent of total billed charges · inpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
20	MultiPlan ppo/auto facility · percent of total billed charges · outpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
21	MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
22	MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
23	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$285	$285	—	—	—	$285 – $285

Last updated: Mar 6, 2026

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