Aminophylline 25 mg/ml intravenous solution (wrapper) 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

$106.40

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.

Full explanation →

What you pay up front if you don't use insurance.

$133.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2.04 with Highmark BCBS of PA vs $36.80 with InterGroup — 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 $2.04 ↓ -98%
UPMC Health Plan Managed Medicaid $6.53 ↓ -94%
Independent Health Medicare Advantage $6.71 ↓ -94%
Independent Health Commercial $6.71 ↓ -94%
Univera Univera_Medicare_Hamot_2024 $6.90 ↓ -94%
Geisinger Medicaid/CHIP $10.34 ↓ -90%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $10.34 ↓ -90%
Highmark Wholecare (prev Gateway) Medicaid $10.34 ↓ -90%
Aetna Commercial $11.50 ↓ -89%
Highmark BCBS of PA Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission $12.45 ↓ -88%
UPMC Work Partners Workers Comp $13.03 ↓ -88%
Cigna NBR ASO/FI $13.80 ↓ -87%
Cigna New Business ASO $13.80 ↓ -87%
United Healthcare Commercial $13.96 ↓ -87%
Univera Commercial $15.18 ↓ -86%
BCBS of Western NY Commercial $16.10 ↓ -85%
UPMC Health Plan Commercial $16.93 ↓ -84%
Cigna Commercial $18.40 ↓ -83%
Aetna Medicare $18.40 ↓ -83%
Cigna EBR $18.40 ↓ -83%
Highmark BCBS of PA UPMC Emergent $19.92 ↓ -81%
Highmark Wholecare (prev Gateway) Medicare $23.00 ↓ -78%
InterGroup Health Coalition Partners/PPO $29.90 ↓ -72%
Multiplan PPO (Includes PHCS as a Payer) $32.20 ↓ -70%
Aetna AXA/MMO $32.20 ↓ -70%
Multiplan Complimentary Network Rate (Includes Multiplan as Payer) $36.80 ↓ -65%
InterGroup Beech Street $36.80 ↓ -65%

Visitor-reported prices

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Aminophylline 25 mg/ml intravenous solution (wrapper) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $10.60 $2.04 – $15.51
UPMC Bedford Everett $7.80 $2.00 – $10.34
UPMC Carlisle Carlisle $7.80 $0.14 – $10.55
UPMC Cole Coudersport $16.80 $5.96 – $22.40
UPMC Community Osteopathic Harrisburg $7.80 $0.20 – $12.72
UPMC East Monroeville $12.20 $1.79 – $12.00
UPMC Northwest Seneca $58.40 $5.31 – $10.34
UPMC Hanover Hanover $7.80 $7.23 – $11.38

All Pennsylvania hospitals for this procedure →