Albumin (human), 5%, 250 ml at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,196.00
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.
?
What you pay up front if you don't use insurance.
$1,495.00
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.
$33.51 with UPMC Health Plan vs $1,196.00 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $33.51 | ↓ -97% |
| Independent Health | Commercial | $51.20 | ↓ -96% |
| Independent Health | Medicare Advantage | $51.20 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $53.08 | ↓ -96% |
| Fidelis | Medicare | $53.08 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $53.08 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $53.08 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $53.08 | ↓ -96% |
| Aetna | Medicare | $54.14 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $54.18 | ↓ -95% |
| Wellcare | Medicare Advantage | $54.67 | ↓ -95% |
| BCBS of Western NY | Medicare Advantage | $55.73 | ↓ -95% |
| United Healthcare | Medicare | $56.80 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $57.32 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $57.33 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $57.33 | ↓ -95% |
| Cigna | Medicare | $57.33 | ↓ -95% |
| Highmark BCBS of PA | UPMC Emergent | $84.93 | ↓ -93% |
| United Healthcare | Commercial | $144.51 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $154.52 | ↓ -87% |
| Univera | Univera_Medicare_Hamot_2024 | $224.25 | ↓ -81% |
| Aetna | Commercial | $373.75 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $423.38 | ↓ -65% |
| Cigna | NBR ASO/FI | $448.50 | ↓ -63% |
| Cigna | New Business ASO | $448.50 | ↓ -63% |
| Univera | Commercial | $493.35 | ↓ -59% |
| BCBS of Western NY | Commercial | $523.25 | ↓ -56% |
| UPMC Health Plan | Commercial | $550.16 | ↓ -54% |
| Cigna | Commercial | $598.00 | ↓ -50% |
| Cigna | EBR | $598.00 | ↓ -50% |
| InterGroup | Health Coalition Partners/PPO | $971.75 | ↓ -19% |
| Aetna | AXA/MMO | $1,046.50 | ↓ -13% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,046.50 | ↓ -13% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,196.00 | ↑ +0% |
| InterGroup | Beech Street | $1,196.00 | ↑ +0% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Albumin (human), 5%, 250 ml at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,314.40 | $33.51 – $658.40 |
| UPMC Bedford | Everett | $474.40 | $19.15 – $533.70 |
| UPMC Cole | Coudersport | $63.00 | $29.11 – $84.00 |
| UPMC East | Monroeville | $922.40 | $33.51 – $707.20 |
| UPMC Northwest | Seneca | $717.60 | $33.51 – $57.33 |
| UPMC Horizon-Greenville | Greenville | $536.00 | $33.51 – $99.60 |
| UPMC Jameson | New Castle | $259.20 | $33.51 – $157.25 |
| UPMC Magee | Pittsburgh | $618.60 | $33.51 – $155.99 |