Buprenorphine 8 mg-naloxone 2 mg sublingual tablet at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$27.00
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.
$33.75
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.
$5.06 with Univera vs $27.00 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $5.06 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.43 | ↓ -76% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $7.08 | ↓ -74% |
| Aetna | Commercial | $8.44 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.60 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $9.52 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $9.56 | ↓ -65% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $9.89 | ↓ -63% |
| Cigna | New Business ASO | $10.12 | ↓ -63% |
| Cigna | NBR ASO/FI | $10.12 | ↓ -63% |
| Aetna | Medicaid | $10.32 | ↓ -62% |
| Univera | Commercial | $11.14 | ↓ -59% |
| BCBS of Western NY | Commercial | $11.81 | ↓ -56% |
| UPMC Health Plan | Commercial | $12.42 | ↓ -54% |
| Aetna | Medicare | $13.50 | ↓ -50% |
| Cigna | EBR | $13.50 | ↓ -50% |
| Cigna | Commercial | $13.50 | ↓ -50% |
| Highmark BCBS of PA | UPMC Emergent | $15.23 | ↓ -44% |
| United Healthcare | Commercial | $15.34 | ↓ -43% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $15.93 | ↓ -41% |
| Fidelis | Essential Plan | $15.93 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicare | $16.88 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $18.56 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $18.56 | ↓ -31% |
| InterGroup | Health Coalition Partners/PPO | $21.94 | ↓ -19% |
| Multiplan | PPO (Includes PHCS as a Payer) | $23.62 | ↓ -13% |
| Aetna | AXA/MMO | $23.62 | ↓ -13% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $27.00 | ↑ +0% |
| InterGroup | Beech Street | $27.00 | ↑ +0% |
Visitor-reported prices
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Buprenorphine 8 mg-naloxone 2 mg sublingual tablet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $32.80 | $6.43 – $34.68 |
| UPMC Bedford | Everett | $25.00 | $7.81 – $28.12 |
| UPMC East | Monroeville | $36.40 | $5.44 – $36.40 |
| UPMC Northwest | Seneca | $25.00 | $9.03 – $16.69 |
| UPMC Horizon-Greenville | Greenville | $49.40 | $8.60 – $16.39 |
| UPMC Jameson | New Castle | $37.60 | $6.54 – $7.91 |
| UPMC Magee | Pittsburgh | $36.60 | $6.49 – $9.46 |
| UPMC McKeesport | Mckeesport | $36.00 | $6.49 – $9.46 |