Alteplase 100 mg infusion from pyxis vial at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$5,517.60
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.
$9,196.00
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.
$37.70 with Highmark BCBS of PA vs $235.77 with United Healthcare — 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 | $37.70 | ↓ -99% |
| United Healthcare | Medicare | $38.08 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $38.08 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $38.08 | ↓ -99% |
| Humana | Medicare | $38.46 | ↓ -99% |
| Cigna | Medicare | $39.98 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $41.13 | ↓ -99% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $41.13 | ↓ -99% |
| Aetna | Medicare | $41.48 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $48.91 | ↓ -99% |
| AmeriHealth Caritas | Medicaid | $94.45 | ↓ -98% |
| Geisinger | Medicaid | $94.45 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $94.45 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $94.45 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $94.45 | ↓ -98% |
| UPMC Health Plan | Commercial | $95.20 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $100.52 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $100.52 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity | $100.52 | ↓ -98% |
| Highmark BCBS of PA | Managed Care | $100.52 | ↓ -98% |
| Geisinger | Commercial | $102.00 | ↓ -98% |
| UPMC Health Plan | CHIP | $103.24 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $103.89 | ↓ -98% |
| Galaxy Health Plan | Commercial | $108.80 | ↓ -98% |
| Multiplan | PPO/Auto | $108.80 | ↓ -98% |
| Multiplan | Worker's Compensation | $108.80 | ↓ -98% |
| InterGroup | PPO | $108.80 | ↓ -98% |
| Humana | Commercial | $108.80 | ↓ -98% |
| Aetna | Commercial | $111.52 | ↓ -98% |
| United Healthcare | Commercial | $235.77 | ↓ -96% |
Visitor-reported prices
Comments
Alteplase 100 mg infusion from pyxis vial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,280.00 | $12.06 – $177.50 |
| UPMC Community Osteopathic | Harrisburg | $5,280.00 | $17.60 – $177.50 |
| UPMC Hanover | Hanover | $5,280.00 | $93.51 – $177.50 |
| UPMC Kane | Kane | $19,391.40 | $94.45 – $150.94 |
| UPMC Lititz | Lititz | $5,280.00 | $93.51 – $177.50 |
| UPMC Magee | Pittsburgh | $22,001.40 | $49.03 – $195.25 |
| UPMC Memorial | York | $5,280.00 | $39.59 – $177.50 |
| UPMC Mercy | Pittsburgh | $612.00 | $48.57 – $204.13 |