Alteplase 100 mg infusion from pyxis vial at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$308.80
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.
$386.00
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.
$48.57 with Highmark BCBS of PA vs $264.80 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.57 | ↓ -84% |
| Univera | Univera_Medicare_Hamot_2024 | $49.65 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $59.63 | ↓ -81% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $73.78 | ↓ -76% |
| Aetna | Commercial | $82.75 | ↓ -73% |
| Independent Health | Commercial | $86.62 | ↓ -72% |
| Independent Health | Medicare Advantage | $86.62 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $93.74 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $94.45 | ↓ -69% |
| Fidelis | Medicare | $94.45 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $94.45 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $94.45 | ↓ -69% |
| Aetna | Medicare | $96.34 | ↓ -69% |
| UPMC Health Plan | Partners/Select | $96.41 | ↓ -69% |
| Wellcare | Medicare Advantage | $97.28 | ↓ -68% |
| BCBS of Western NY | Medicare Advantage | $99.17 | ↓ -68% |
| Cigna | New Business ASO | $99.30 | ↓ -68% |
| Cigna | NBR ASO/FI | $99.30 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $100.52 | ↓ -67% |
| United Healthcare | Medicare | $101.06 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $102.00 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $102.01 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $102.01 | ↓ -67% |
| Cigna | Medicare | $102.01 | ↓ -67% |
| Univera | Commercial | $109.23 | ↓ -65% |
| BCBS of Western NY | Commercial | $115.85 | ↓ -62% |
| UPMC Health Plan | Commercial | $121.81 | ↓ -61% |
| Cigna | EBR | $132.40 | ↓ -57% |
| Cigna | Commercial | $132.40 | ↓ -57% |
| United Healthcare | Commercial | $150.44 | ↓ -51% |
| Highmark BCBS of PA | UPMC Emergent | $160.83 | ↓ -48% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $166.00 | ↓ -46% |
| Fidelis | Essential Plan | $166.00 | ↓ -46% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $177.50 | ↓ -43% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $204.13 | ↓ -34% |
| Aetna | Medicaid | $213.00 | ↓ -31% |
| InterGroup | Health Coalition Partners/PPO | $215.15 | ↓ -30% |
| Aetna | AXA/MMO | $231.70 | ↓ -25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $231.70 | ↓ -25% |
| InterGroup | Beech Street | $264.80 | ↓ -14% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $264.80 | ↓ -14% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Alteplase 100 mg infusion from pyxis vial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,280.00 | $12.06 – $177.50 |
| UPMC Cole | Coudersport | $5,517.60 | $37.70 – $108.80 |
| UPMC Community Osteopathic | Harrisburg | $5,280.00 | $17.60 – $177.50 |
| UPMC Hanover | Hanover | $5,280.00 | $93.51 – $177.50 |
| UPMC Kane | Kane | $19,391.40 | $94.45 – $150.94 |
| UPMC Lititz | Lititz | $5,280.00 | $93.51 – $177.50 |
| UPMC Magee | Pittsburgh | $22,001.40 | $49.03 – $195.25 |
| UPMC Memorial | York | $5,280.00 | $39.59 – $177.50 |