Cladribine 10 mg/10 ml intravenous solution at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$475.20
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.
$599.00
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.
$6.74 with UPMC Health Plan vs $475.20 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $6.74 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10.68 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $10.68 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.68 | ↓ -98% |
| Fidelis | Medicare | $10.68 | ↓ -98% |
| Aetna | Medicare | $10.89 | ↓ -98% |
| UPMC Health Plan | Partners/Select | $10.90 | ↓ -98% |
| Wellcare | Medicare Advantage | $11.00 | ↓ -98% |
| BCBS of Western NY | Medicare Advantage | $11.21 | ↓ -98% |
| United Healthcare | Medicare | $11.43 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11.53 | ↓ -98% |
| Cigna | Medicare | $11.53 | ↓ -98% |
| AmeriHealth Caritas | Medicare | $11.53 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.53 | ↓ -98% |
| Independent Health | Commercial | $23.92 | ↓ -95% |
| Independent Health | Medicare Advantage | $23.92 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $39.90 | ↓ -92% |
| United Healthcare | Commercial | $42.93 | ↓ -91% |
| Highmark BCBS of PA | UPMC Emergent | $63.84 | ↓ -87% |
| Univera | Univera_Medicare_Hamot_2024 | $89.10 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $104.32 | ↓ -78% |
| Aetna | Commercial | $148.50 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $168.22 | ↓ -65% |
| Cigna | New Business ASO | $178.20 | ↓ -63% |
| Cigna | NBR ASO/FI | $178.20 | ↓ -63% |
| Univera | Commercial | $196.02 | ↓ -59% |
| BCBS of Western NY | Commercial | $207.90 | ↓ -56% |
| UPMC Health Plan | Commercial | $218.59 | ↓ -54% |
| Cigna | EBR | $237.60 | ↓ -50% |
| Cigna | Commercial | $237.60 | ↓ -50% |
| InterGroup | Health Coalition Partners/PPO | $386.10 | ↓ -19% |
| Aetna | AXA/MMO | $415.80 | ↓ -13% |
| Multiplan | PPO (Includes PHCS as a Payer) | $415.80 | ↓ -13% |
| InterGroup | Beech Street | $475.20 | ↑ +0% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $475.20 | ↑ +0% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cladribine 10 mg/10 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $613.20 | $6.74 – $817.60 |
| UPMC Cole | Coudersport | $1,083.00 | $10.68 – $1,444.00 |
| UPMC Northwest | Seneca | $329.60 | $6.74 – $11.53 |
| UPMC Horizon-Greenville | Greenville | $302.40 | $6.74 – $20.04 |
| UPMC Magee | Pittsburgh | $576.60 | $6.74 – $105.31 |
| UPMC McKeesport | Mckeesport | $268.80 | $6.74 – $105.31 |
| UPMC Muncy | Muncy | $2,014.80 | $10.68 – $11.75 |
| UPMC Passavant-McCandless | Pittsburgh | $576.60 | $6.74 – $105.31 |