Ado-trastuzumab emtansine 100 mg intravenous solution at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$119.40
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.
?
What you pay up front if you don't use insurance.
$199.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$23.33 with Highmark BCBS of PA vs $159.20 with InterGroup — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $23.33 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $26.62 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $29.85 | ↓ -75% |
| Independent Health | Medicare Advantage | $35.12 | ↓ -71% |
| Independent Health | Commercial | $35.12 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $42.16 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $42.16 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $42.16 | ↓ -65% |
| Fidelis | Medicare | $42.16 | ↓ -65% |
| Aetna | Medicare | $43.00 | ↓ -64% |
| UPMC Health Plan | Partners/Select | $43.04 | ↓ -64% |
| Wellcare | Medicare Advantage | $43.42 | ↓ -64% |
| BCBS of Western NY | Medicare Advantage | $44.27 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $44.81 | ↓ -62% |
| United Healthcare | Medicare | $45.11 | ↓ -62% |
| Cigna | Medicare | $45.53 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $45.53 | ↓ -62% |
| AmeriHealth Caritas | Medicare | $45.53 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $45.53 | ↓ -62% |
| Aetna | Commercial | $49.75 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $56.36 | ↓ -53% |
| Cigna | New Business ASO | $59.70 | ↓ -50% |
| Cigna | NBR ASO/FI | $59.70 | ↓ -50% |
| Univera | Commercial | $65.67 | ↓ -45% |
| BCBS of Western NY | Commercial | $69.65 | ↓ -42% |
| Highmark BCBS of PA | UPMC Emergent | $71.70 | ↓ -40% |
| UPMC Health Plan | Commercial | $73.23 | ↓ -39% |
| Cigna | EBR | $79.60 | ↓ -33% |
| Cigna | Commercial | $79.60 | ↓ -33% |
| United Healthcare | Commercial | $90.45 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $129.35 | ↑ +8% |
| Aetna | AXA/MMO | $139.30 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $139.30 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $159.20 | ↑ +33% |
| InterGroup | Beech Street | $159.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ado-trastuzumab emtansine 100 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,735.60 | $41.74 – $3,307.35 |
| UPMC Cole | Coudersport | $15,894.60 | $42.16 – $13,245.60 |
| UPMC Community Osteopathic | Harrisburg | $3,735.60 | $38.84 – $3,307.35 |
| UPMC Hanover | Hanover | $3,735.60 | $41.74 – $67.46 |
| UPMC Lititz | Lititz | $3,735.60 | $41.74 – $67.46 |
| UPMC Magee | Pittsburgh | $12,076.20 | $23.55 – $45.53 |
| UPMC Memorial | York | $3,735.60 | $19.01 – $67.46 |
| UPMC Somerset | Somerset | $3,735.60 | $23.09 – $42.16 |