IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$181.20
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.
$302.00
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.
$20.20 with Aetna vs $211.40 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $20.20 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $21.34 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $21.56 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $21.56 | ↓ -88% |
| Humana | Medicare | $21.78 | ↓ -88% |
| AmeriHealth Caritas | Medicaid | $22.10 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $22.10 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $22.33 | ↓ -88% |
| Cigna | Medicare | $22.64 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $23.28 | ↓ -87% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $23.28 | ↓ -87% |
| Aetna | Medicare | $23.48 | ↓ -87% |
| Geisinger | Medicaid | $26.74 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $29.01 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $30.80 | ↓ -83% |
| BCBS of Western NY | Medicare Advantage | $32.03 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32.79 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $51.32 | ↓ -72% |
| UPMC Health Plan | Commercial | $53.90 | ↓ -70% |
| Geisinger | Commercial | $57.75 | ↓ -68% |
| InterGroup | PPO | $61.60 | ↓ -66% |
| Humana | Commercial | $61.60 | ↓ -66% |
| Galaxy Health Plan | Commercial | $61.60 | ↓ -66% |
| Multiplan | Worker's Compensation | $61.60 | ↓ -66% |
| Multiplan | PPO/Auto | $61.60 | ↓ -66% |
| Aetna | Commercial | $63.14 | ↓ -65% |
| United Healthcare | Medicare | $84.56 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $159.56 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $159.56 | ↓ -12% |
| UPMC Health Plan | CHIP | $191.35 | ↑ +6% |
| Highmark BCBS of PA | Managed Care | $194.29 | ↑ +7% |
| Highmark BCBS of PA | Commercial - Indemnity | $194.29 | ↑ +7% |
| United Healthcare | Commercial | $211.40 | ↑ +17% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $220.80 | $19.24 – $294.40 |
| UPMC Bedford | Everett | $178.20 | $20.20 – $267.30 |
| UPMC Carlisle | Carlisle | $171.60 | $24.43 – $243.10 |
| UPMC Community Osteopathic | Harrisburg | $171.60 | $24.43 – $243.10 |
| UPMC East | Monroeville | $412.20 | $21.16 – $549.60 |
| UPMC Hamot | Erie | $305.40 | $21.16 – $84.57 |
| UPMC Northwest | Seneca | $228.60 | $21.16 – $71.24 |
| UPMC Hanover | Hanover | $171.60 | $24.43 – $108.78 |