Alteplase 100 mg infusion from pyxis vial at UPMC Hamot

201 State Street, Erie, PA · UPMC · · NPI 1487647590

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$308.80

Cash price

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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

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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 →

Payer
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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
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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

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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

All Pennsylvania hospitals for this procedure →