METHYLPREDNISOLONE SOD SUCC INJ 500MG/8ML SDV at UPMC Cole

Coudersport, PA

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Pricing by billing methodology

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Payers reporting HCPCS J2929 at UPMC Cole

Negotiated rates from the hospital’s own file: 7 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Highmark community blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
2	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
3	UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
4	Humana medicare facility · percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
5	Amerihealth Caritas community healthchoices (chc) facility · percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
6	Amerihealth Caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
7	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
8	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$7	$7	—	—	—	$7 – $7
9	Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges	$9	$9	—	—	—	$9 – $9
10	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$12	$12	—	—	—	$12 – $12
11	Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
12	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
13	Highmark commercial - indemnity facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
14	Highmark managed care facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
15	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
16	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
17	MultiPlan ppo/auto facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
18	MultiPlan ppo/auto facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
19	MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
20	MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
21	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18

Last updated: Mar 6, 2026

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