Agalsidase beta 35 mg intravenous solution at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,346.00
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.
$3,910.00
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.
$117.30 with Univera vs $625.60 with Multiplan — 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $117.30 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $145.32 | ↓ -94% |
| Aetna | Commercial | $195.50 | ↓ -92% |
| Independent Health | Medicare Advantage | $204.53 | ↓ -91% |
| Independent Health | Commercial | $204.53 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $221.46 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $230.15 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $230.15 | ↓ -90% |
| Fidelis | Medicare | $230.15 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $230.15 | ↓ -90% |
| Cigna | NBR ASO/FI | $234.60 | ↓ -90% |
| Cigna | New Business ASO | $234.60 | ↓ -90% |
| Aetna | Medicare | $234.75 | ↓ -90% |
| UPMC Health Plan | Partners/Select | $234.94 | ↓ -90% |
| Wellcare | Medicare Advantage | $237.05 | ↓ -90% |
| BCBS of Western NY | Medicare Advantage | $241.66 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $242.09 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $242.77 | ↓ -90% |
| United Healthcare | Medicare | $246.26 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.54 | ↓ -89% |
| Cigna | Medicare | $248.56 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $248.56 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $248.56 | ↓ -89% |
| Univera | Commercial | $258.06 | ↓ -89% |
| BCBS of Western NY | Commercial | $273.70 | ↓ -88% |
| UPMC Health Plan | Commercial | $287.78 | ↓ -88% |
| Cigna | Commercial | $312.80 | ↓ -87% |
| Cigna | EBR | $312.80 | ↓ -87% |
| United Healthcare | Commercial | $355.42 | ↓ -85% |
| Highmark BCBS of PA | UPMC Emergent | $388.43 | ↓ -83% |
| InterGroup | Health Coalition Partners/PPO | $508.30 | ↓ -78% |
| Aetna | AXA/MMO | $547.40 | ↓ -77% |
| Multiplan | PPO (Includes PHCS as a Payer) | $547.40 | ↓ -77% |
| InterGroup | Beech Street | $625.60 | ↓ -73% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $625.60 | ↓ -73% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Agalsidase beta 35 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,658.00 | $145.32 – $708.00 |
| UPMC Cole | Coudersport | $19,490.40 | $230.15 – $3,712.00 |
| UPMC East | Monroeville | $2,305.60 | $93.53 – $625.60 |
| UPMC Magee | Pittsburgh | $19,481.40 | $145.32 – $248.56 |
| UPMC McKeesport | Mckeesport | $1,000.80 | $145.32 – $253.16 |
| UPMC Mercy | Pittsburgh | $20,627.40 | $145.32 – $253.16 |
| UPMC Muncy | Muncy | $27,295.80 | $230.15 – $253.17 |
| UPMC Passavant-McCandless | Pittsburgh | $955.20 | $145.32 – $253.16 |