Ampicillin-sulbactam 1.5 gram solution for injection at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$136.00
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.
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What you pay up front if you don't use insurance.
$170.00
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.
$0.88 with UPMC Health Plan vs $47.20 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 →
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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 | $0.88 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $1.39 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1.39 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.39 | ↓ -99% |
| Independent Health | Medicare Advantage | $2.59 | ↓ -98% |
| Independent Health | Commercial | $2.59 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $4.79 | ↓ -96% |
| United Healthcare | Commercial | $4.82 | ↓ -96% |
| Highmark BCBS of PA | UPMC Emergent | $7.66 | ↓ -94% |
| Univera | Univera_Medicare_Hamot_2024 | $8.85 | ↓ -93% |
| Aetna | Commercial | $14.75 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $15.24 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $16.71 | ↓ -88% |
| Cigna | NBR ASO/FI | $17.70 | ↓ -87% |
| Cigna | New Business ASO | $17.70 | ↓ -87% |
| Univera | Commercial | $19.47 | ↓ -86% |
| BCBS of Western NY | Commercial | $20.65 | ↓ -85% |
| UPMC Health Plan | Commercial | $21.71 | ↓ -84% |
| Cigna | EBR | $23.60 | ↓ -83% |
| Cigna | Commercial | $23.60 | ↓ -83% |
| Aetna | Medicare | $23.60 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $29.50 | ↓ -78% |
| InterGroup | Health Coalition Partners/PPO | $38.35 | ↓ -72% |
| Aetna | AXA/MMO | $41.30 | ↓ -70% |
| Multiplan | PPO (Includes PHCS as a Payer) | $41.30 | ↓ -70% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $47.20 | ↓ -65% |
| InterGroup | Beech Street | $47.20 | ↓ -65% |
Visitor-reported prices
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Ampicillin-sulbactam 1.5 gram solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $27.60 | $0.88 – $25.60 |
| UPMC Bedford | Everett | $45.40 | $0.88 – $50.40 |
| UPMC Carlisle | Carlisle | $43.20 | $0.14 – $2.50 |
| UPMC Cole | Coudersport | $18.00 | $1.39 – $12.80 |
| UPMC Community Osteopathic | Harrisburg | $43.20 | $0.20 – $25.38 |
| UPMC East | Monroeville | $91.20 | $0.88 – $90.40 |
| UPMC Northwest | Seneca | $61.20 | $0.88 – $39.56 |
| UPMC Hanover | Hanover | $43.20 | $1.39 – $2.50 |