Albumin (human), 25%, 50ml at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,591.80
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.
$2,653.00
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.
$33.51 with UPMC Health Plan vs $1,061.60 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $33.51 | ↓ -98% |
| Independent Health | Medicare Advantage | $51.20 | ↓ -97% |
| Independent Health | Commercial | $51.20 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $51.30 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $53.08 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $53.08 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $53.08 | ↓ -97% |
| Highmark BCBS of PA | UPMC Emergent | $82.08 | ↓ -95% |
| United Healthcare | Commercial | $144.51 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $158.93 | ↓ -90% |
| Univera | Univera_Medicare_Hamot_2024 | $199.05 | ↓ -87% |
| Aetna | Commercial | $331.75 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $375.81 | ↓ -76% |
| Cigna | NBR ASO/FI | $398.10 | ↓ -75% |
| Cigna | New Business ASO | $398.10 | ↓ -75% |
| Univera | Commercial | $437.91 | ↓ -72% |
| BCBS of Western NY | Commercial | $464.45 | ↓ -71% |
| UPMC Health Plan | Commercial | $488.34 | ↓ -69% |
| Cigna | EBR | $530.80 | ↓ -67% |
| Aetna | Medicare | $530.80 | ↓ -67% |
| Cigna | Commercial | $530.80 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $663.50 | ↓ -58% |
| InterGroup | Health Coalition Partners/PPO | $862.55 | ↓ -46% |
| Multiplan | PPO (Includes PHCS as a Payer) | $928.90 | ↓ -42% |
| Aetna | AXA/MMO | $928.90 | ↓ -42% |
| InterGroup | Beech Street | $1,061.60 | ↓ -33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,061.60 | ↓ -33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Albumin (human), 25%, 50ml at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $492.00 | $33.51 – $329.60 |
| UPMC Bedford | Everett | $797.40 | $33.51 – $600.30 |
| UPMC Carlisle | Carlisle | $99.00 | $0.14 – $64.72 |
| UPMC Cole | Coudersport | $61.80 | $21.34 – $61.60 |
| UPMC Community Osteopathic | Harrisburg | $99.00 | $0.20 – $264.62 |
| UPMC East | Monroeville | $1,898.40 | $33.51 – $947.20 |
| UPMC Northwest | Seneca | $952.80 | $33.51 – $412.48 |
| UPMC Hanover | Hanover | $99.00 | $53.08 – $372.75 |