Dihydroergotamine 0.05 mg/ml IV syringe - cnr at UPMC Cole

1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184

Source: hospital's published price file ↗ · Published unknown · Ingested Aug 13, 2026

$1,475.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,459.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$49.13 with UPMC Health Plan vs $2,016.38 with Aetna — 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 →

Payer
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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
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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
UPMC Health Plan CHIP $49.13 ↓ -97%
Geisinger Medicaid $60.00 ↓ -96%
Highmark Wholecare (prev Gateway) Medicaid $60.00 ↓ -96%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $60.00 ↓ -96%
AmeriHealth Caritas Community HealthChoices (CHC) $60.00 ↓ -96%
AmeriHealth Caritas Medicaid $60.00 ↓ -96%
UPMC Health Plan Managed Medicaid $66.00 ↓ -96%
Highmark BCBS of PA Commercial - Indemnity $96.00 ↓ -93%
Highmark BCBS of PA Managed Care $96.00 ↓ -93%
Highmark BCBS of PA Commercial - Social Mission Indemnity $96.00 ↓ -93%
Highmark BCBS of PA Managed Care - Social Mission $96.00 ↓ -93%
Highmark BCBS of PA Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage $681.63 ↓ -54%
UPMC Health Plan Managed Medicare $688.52 ↓ -53%
United Healthcare Medicare $688.52 ↓ -53%
AmeriHealth Caritas Medicare $688.52 ↓ -53%
Humana Medicare $695.41 ↓ -53%
Cigna Medicare $722.95 ↓ -51%
PA Health & Wellness Medicare Advantage (Allwell by Wellcare) $743.60 ↓ -50%
PA Health & Wellness Allwell Medicare Advantage DSNP $743.60 ↓ -50%
Aetna Medicare $750.00 ↓ -49%
UPMC Work Partners Workers Comp $884.26 ↓ -40%
UPMC Health Plan Commercial $1,721.30 ↑ +17%
Geisinger Commercial $1,844.25 ↑ +25%
Galaxy Health Plan Commercial $1,967.20 ↑ +33%
Humana Commercial $1,967.20 ↑ +33%
Multiplan Worker's Compensation $1,967.20 ↑ +33%
Multiplan PPO/Auto $1,967.20 ↑ +33%
InterGroup PPO $1,967.20 ↑ +33%
Aetna Commercial $2,016.38 ↑ +37%

Visitor-reported prices

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Dihydroergotamine 0.05 mg/ml IV syringe - cnr at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $276.00 $15.56 – $276.00
UPMC Bedford Everett $221.60 $37.89 – $249.30
UPMC Carlisle Carlisle $89.40 $3.84 – $61.20
UPMC Community Osteopathic Harrisburg $89.40 $5.60 – $73.80
UPMC East Monroeville $518.40 $15.71 – $518.40
UPMC Hamot Erie $574.40 $15.56 – $115.27
UPMC Hanover Hanover $89.40 $59.70 – $66.00
UPMC Jameson New Castle $104.00 $15.83 – $60.60

All Pennsylvania hospitals for this procedure →