Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback at UPMC Cole

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

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

$34.80

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.

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

$58.00

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.

$1.05 with UPMC Health Plan vs $18.04 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 $1.05 ↓ -97%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $2.54 ↓ -93%
AmeriHealth Caritas Medicaid $2.54 ↓ -93%
AmeriHealth Caritas Community HealthChoices (CHC) $2.54 ↓ -93%
Geisinger Medicaid $2.54 ↓ -93%
Highmark Wholecare (prev Gateway) Medicaid $2.54 ↓ -93%
UPMC Health Plan Managed Medicaid $2.79 ↓ -92%
Highmark BCBS of PA Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage $6.10 ↓ -82%
AmeriHealth Caritas Medicare $6.16 ↓ -82%
UPMC Health Plan Managed Medicare $6.16 ↓ -82%
United Healthcare Medicare $6.16 ↓ -82%
Humana Medicare $6.22 ↓ -82%
Cigna Medicare $6.47 ↓ -81%
PA Health & Wellness Allwell Medicare Advantage DSNP $6.65 ↓ -81%
PA Health & Wellness Medicare Advantage (Allwell by Wellcare) $6.65 ↓ -81%
Aetna Medicare $6.71 ↓ -81%
UPMC Work Partners Workers Comp $7.91 ↓ -77%
Highmark BCBS of PA Commercial - Social Mission Indemnity $9.69 ↓ -72%
Highmark BCBS of PA Managed Care - Social Mission $9.69 ↓ -72%
Highmark BCBS of PA Commercial - Indemnity $9.69 ↓ -72%
Highmark BCBS of PA Managed Care $9.69 ↓ -72%
UPMC Health Plan Commercial $15.40 ↓ -56%
Geisinger Commercial $16.50 ↓ -53%
Galaxy Health Plan Commercial $17.60 ↓ -49%
Multiplan Worker's Compensation $17.60 ↓ -49%
Multiplan PPO/Auto $17.60 ↓ -49%
Humana Commercial $17.60 ↓ -49%
InterGroup PPO $17.60 ↓ -49%
Aetna Commercial $18.04 ↓ -48%

Visitor-reported prices

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Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $229.80 $1.05 – $102.40
UPMC Bedford Everett $284.40 $1.05 – $142.20
UPMC Hamot Erie $455.40 $1.05 – $9.69
UPMC Horizon-Greenville Greenville $254.40 $1.05 – $93.80
UPMC Jameson New Castle $141.60 $1.05 – $37.45
UPMC Kane Kane $21.60 $2.54 – $9.69
UPMC Magee Pittsburgh $325.80 $1.02 – $37.15
UPMC McKeesport Mckeesport $311.40 $1.05 – $37.15

All Pennsylvania hospitals for this procedure →