Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$5,718.60
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.
$9,531.00
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.
$1,760.54 with Health Partners Plans (Jefferson Health Plan) vs $7,372.62 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 →
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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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,760.54 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,492.31 | ↓ -56% |
| UPMC Health Plan | Managed Medicare | $2,517.48 | ↓ -56% |
| AmeriHealth Caritas | Medicare | $2,517.48 | ↓ -56% |
| United Healthcare | Medicare | $2,517.48 | ↓ -56% |
| Humana | Medicare | $2,542.65 | ↓ -56% |
| AmeriHealth Caritas | Medicaid | $2,580.42 | ↓ -55% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $2,580.42 | ↓ -55% |
| UPMC Health Plan | Managed Medicaid | $2,607.39 | ↓ -54% |
| Cigna | Medicare | $2,643.35 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $2,718.88 | ↓ -52% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $2,718.88 | ↓ -52% |
| Aetna | Medicare | $2,742.26 | ↓ -52% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,057.78 | ↓ -47% |
| Geisinger | Medicaid | $3,057.78 | ↓ -47% |
| UPMC Work Partners | Workers Comp | $3,427.35 | ↓ -40% |
| United Healthcare | Commercial | $4,945.05 | ↓ -14% |
| UPMC Health Plan | Commercial | $6,293.70 | ↑ +10% |
| Geisinger | Commercial | $6,743.25 | ↑ +18% |
| InterGroup | PPO | $7,192.80 | ↑ +26% |
| Galaxy Health Plan | Commercial | $7,192.80 | ↑ +26% |
| Humana | Commercial | $7,192.80 | ↑ +26% |
| Multiplan | Worker's Compensation | $7,192.80 | ↑ +26% |
| Multiplan | PPO/Auto | $7,192.80 | ↑ +26% |
| Aetna | Commercial | $7,372.62 | ↑ +29% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
| BCBS of Western NY | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
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Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $25,164.00 | $89.78 – $208.00 |
| UPMC Bedford | Everett | $14,672.40 | $75.50 – $962.38 |
| UPMC Carlisle | Carlisle | $2,896.20 | $65.08 – $403.75 |
| UPMC Community Osteopathic | Harrisburg | $2,896.20 | $95.00 – $403.75 |
| UPMC East | Monroeville | $6,078.40 | $738.05 – $4,936.80 |
| UPMC Hamot | Erie | $26,679.00 | $962.38 – $1,154.86 |
| UPMC Northwest | Seneca | $14,672.40 | $1,010.50 – $1,154.86 |
| UPMC Horizon-Greenville | Greenville | $25,164.00 | $962.38 – $1,058.62 |