Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$22.20
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.
$37.00
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.
$3.56 with Univera vs $19.00 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $3.56 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3.59 | ↓ -84% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $4.09 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $4.79 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $5.31 | ↓ -76% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $5.51 | ↓ -75% |
| Aetna | Medicaid | $5.75 | ↓ -74% |
| Aetna | Commercial | $5.94 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $6.73 | ↓ -70% |
| Cigna | New Business ASO | $7.12 | ↓ -68% |
| Cigna | NBR ASO/FI | $7.12 | ↓ -68% |
| Univera | Commercial | $7.84 | ↓ -65% |
| BCBS of Western NY | Commercial | $8.31 | ↓ -63% |
| Highmark BCBS of PA | UPMC Emergent | $8.50 | ↓ -62% |
| UPMC Health Plan | Commercial | $8.74 | ↓ -61% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $9.20 | ↓ -59% |
| Fidelis | Essential Plan | $9.20 | ↓ -59% |
| Aetna | Medicare | $9.50 | ↓ -57% |
| Cigna | EBR | $9.50 | ↓ -57% |
| Cigna | Commercial | $9.50 | ↓ -57% |
| United Healthcare | Commercial | $10.79 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.88 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $13.06 | ↓ -41% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $13.06 | ↓ -41% |
| InterGroup | Health Coalition Partners/PPO | $15.44 | ↓ -30% |
| Aetna | AXA/MMO | $16.62 | ↓ -25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $16.62 | ↓ -25% |
| InterGroup | Beech Street | $19.00 | ↓ -14% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $19.00 | ↓ -14% |
Visitor-reported prices
Comments
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $18.00 | $3.59 – $21.42 |
| UPMC Bedford | Everett | $13.80 | $4.31 – $15.53 |
| UPMC East | Monroeville | $18.40 | $1.67 – $11.20 |
| UPMC Northwest | Seneca | $15.40 | $5.03 – $9.31 |
| UPMC Horizon-Greenville | Greenville | $13.80 | $4.79 – $9.14 |
| UPMC Jameson | New Castle | $13.80 | $3.65 – $4.00 |
| UPMC Magee | Pittsburgh | $20.25 | $3.62 – $5.27 |
| UPMC McKeesport | Mckeesport | $18.40 | $3.62 – $5.27 |