Administration immunization 1 vaccine at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$13.20
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.
$22.00
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.
$0.59 with UPMC Health Plan vs $84.57 with AmeriHealth Caritas — 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $0.59 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2.00 | ↓ -85% |
| Univera | Univera_Medicare_Hamot_2024 | $3.00 | ↓ -77% |
| Highmark BCBS of PA | UPMC Emergent | $3.20 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3.72 | ↓ -72% |
| Aetna | Commercial | $5.00 | ↓ -62% |
| Cigna | New Business ASO | $6.00 | ↓ -55% |
| Cigna | NBR ASO/FI | $6.00 | ↓ -55% |
| Univera | Commercial | $6.60 | ↓ -50% |
| Cigna | Commercial | $8.00 | ↓ -39% |
| Cigna | EBR | $8.00 | ↓ -39% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $11.00 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $11.00 | ↓ -17% |
| InterGroup | Health Coalition Partners/PPO | $13.00 | ↓ -2% |
| Aetna | AXA/MMO | $14.00 | ↑ +6% |
| Multiplan | PPO (Includes PHCS as a Payer) | $14.00 | ↑ +6% |
| InterGroup | Beech Street | $16.00 | ↑ +21% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $16.00 | ↑ +21% |
| BCBS of Western NY | Commercial | $49.90 | ↑ +278% |
| Fidelis | Medicare | $78.31 | ↑ +493% |
| Aetna | Medicare | $79.88 | ↑ +505% |
| UPMC Health Plan | Partners/Select | $79.94 | ↑ +506% |
| Wellcare | Medicare Advantage | $80.66 | ↑ +511% |
| BCBS of Western NY | Medicare Advantage | $82.23 | ↑ +523% |
| United Healthcare | Medicare | $83.79 | ↑ +535% |
| Highmark Wholecare (prev Gateway) | Medicare | $84.57 | ↑ +541% |
| Cigna | Medicare | $84.57 | ↑ +541% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $84.57 | ↑ +541% |
| AmeriHealth Caritas | Medicare | $84.57 | ↑ +541% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Administration immunization 1 vaccine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12.00 | $1.18 – $73.28 |
| UPMC Bedford | Everett | $12.00 | $1.18 – $73.28 |
| UPMC Carlisle | Carlisle | $115.20 | $1.18 – $163.20 |
| UPMC Cole | Coudersport | $103.20 | $1.18 – $23.92 |
| UPMC Community Osteopathic | Harrisburg | $115.20 | $1.18 – $75.61 |
| UPMC East | Monroeville | $12.00 | $1.18 – $73.28 |
| UPMC Northwest | Seneca | $12.00 | $1.42 – $73.28 |
| UPMC Hanover | Hanover | $115.20 | $1.18 – $108.78 |