Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$226.20
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.
$377.00
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.
$32.57 with Aetna vs $249.68 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $32.57 | ↓ -86% |
| Geisinger | Medicaid | $43.11 | ↓ -81% |
| BCBS of Western NY | Medicare Advantage | $43.77 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $46.29 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $46.76 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $46.76 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $46.78 | ↓ -79% |
| Humana | Medicare | $47.23 | ↓ -79% |
| AmeriHealth Caritas | Medicaid | $47.93 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $47.93 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $48.43 | ↓ -79% |
| Cigna | Medicare | $49.10 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $50.50 | ↓ -78% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $50.50 | ↓ -78% |
| Aetna | Medicare | $50.94 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $52.86 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $66.80 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $79.99 | ↓ -65% |
| United Healthcare | Medicare | $86.80 | ↓ -62% |
| UPMC Health Plan | Commercial | $116.90 | ↓ -48% |
| UPMC Health Plan | CHIP | $118.61 | ↓ -48% |
| Geisinger | Commercial | $125.25 | ↓ -45% |
| InterGroup | PPO | $133.60 | ↓ -41% |
| Humana | Commercial | $133.60 | ↓ -41% |
| Galaxy Health Plan | Commercial | $133.60 | ↓ -41% |
| Multiplan | Worker's Compensation | $133.60 | ↓ -41% |
| Multiplan | PPO/Auto | $133.60 | ↓ -41% |
| Aetna | Commercial | $136.94 | ↓ -39% |
| United Healthcare | Commercial | $168.00 | ↓ -26% |
| Highmark BCBS of PA | Managed Care - Social Mission | $205.04 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $205.04 | ↓ -9% |
| Highmark BCBS of PA | Managed Care | $249.68 | ↑ +10% |
| Highmark BCBS of PA | Commercial - Indemnity | $249.68 | ↑ +10% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $166.80 | $31.02 – $222.40 |
| UPMC Bedford | Everett | $235.20 | $32.57 – $352.80 |
| UPMC Carlisle | Carlisle | $522.00 | $39.40 – $739.50 |
| UPMC Community Osteopathic | Harrisburg | $522.00 | $39.40 – $549.95 |
| UPMC East | Monroeville | $557.40 | $34.12 – $743.20 |
| UPMC Hamot | Erie | $158.40 | $34.12 – $250.38 |
| UPMC Northwest | Seneca | $306.00 | $34.12 – $210.91 |
| UPMC Hanover | Hanover | $522.00 | $39.40 – $322.03 |