Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,027.00
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.
$5,045.00
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.
$11.70 with Univera vs $2,171.03 with Aetna — 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 | $11.70 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $18.55 | ↓ -99% |
| Aetna | Commercial | $19.50 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $19.96 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $22.09 | ↓ -99% |
| Independent Health | Medicare Advantage | $22.15 | ↓ -99% |
| Independent Health | Commercial | $22.15 | ↓ -99% |
| Cigna | New Business ASO | $23.40 | ↓ -99% |
| Cigna | NBR ASO/FI | $23.40 | ↓ -99% |
| Univera | Commercial | $25.74 | ↓ -99% |
| BCBS of Western NY | Commercial | $27.30 | ↓ -99% |
| UPMC Health Plan | Commercial | $28.70 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $29.38 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.38 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $29.38 | ↓ -99% |
| Fidelis | Medicare | $29.38 | ↓ -99% |
| Aetna | Medicare | $29.97 | ↓ -99% |
| UPMC Health Plan | Partners/Select | $29.99 | ↓ -99% |
| Wellcare | Medicare Advantage | $30.26 | ↓ -99% |
| BCBS of Western NY | Medicare Advantage | $30.85 | ↓ -99% |
| Cigna | Commercial | $31.20 | ↓ -99% |
| Cigna | EBR | $31.20 | ↓ -99% |
| United Healthcare | Medicare | $31.44 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $31.73 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $31.73 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $31.73 | ↓ -99% |
| Cigna | Medicare | $31.73 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $33.93 | ↓ -99% |
| United Healthcare | Commercial | $35.45 | ↓ -99% |
| InterGroup | Health Coalition Partners/PPO | $50.70 | ↓ -98% |
| Highmark BCBS of PA | UPMC Emergent | $54.29 | ↓ -98% |
| Aetna | AXA/MMO | $54.60 | ↓ -98% |
| Multiplan | PPO (Includes PHCS as a Payer) | $54.60 | ↓ -98% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $62.40 | ↓ -98% |
| InterGroup | Beech Street | $62.40 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,809.19 | ↓ -40% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $2,080.57 | ↓ -31% |
| Aetna | Medicaid | $2,171.03 | ↓ -28% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,061.20 | $18.55 – $1,809.19 |
| UPMC Bedford | Everett | $2,649.00 | $10.60 – $1,809.19 |
| UPMC Carlisle | Carlisle | $1,127.40 | $29.09 – $1,809.19 |
| UPMC Cole | Coudersport | $8,589.60 | $29.24 – $1,323.20 |
| UPMC Community Osteopathic | Harrisburg | $1,127.40 | $29.09 – $1,809.19 |
| UPMC East | Monroeville | $3,144.60 | $9.81 – $1,899.65 |
| UPMC Hanover | Hanover | $1,127.40 | $29.09 – $1,809.19 |
| UPMC Horizon-Greenville | Greenville | $3,551.40 | $18.55 – $1,809.19 |