Drug assay rufinamide at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$568.20
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.
$947.00
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.
$20.24 with Highmark BCBS of PA vs $757.60 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $20.24 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $26.79 | ↓ -95% |
| Fidelis | Medicare | $27.11 | ↓ -95% |
| United Healthcare | Commercial | $27.11 | ↓ -95% |
| Aetna | Medicare | $27.65 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $27.67 | ↓ -95% |
| Independent Health | Medicare Advantage | $27.92 | ↓ -95% |
| Independent Health | Commercial | $27.92 | ↓ -95% |
| Wellcare | Medicare Advantage | $27.92 | ↓ -95% |
| BCBS of Western NY | Medicare Advantage | $28.47 | ↓ -95% |
| United Healthcare | Medicare | $29.01 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $29.28 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $29.28 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $29.28 | ↓ -95% |
| Cigna | Medicare | $29.28 | ↓ -95% |
| BCBS of Western NY | Commercial | $37.13 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $61.17 | ↓ -89% |
| Highmark BCBS of PA | UPMC Emergent | $97.87 | ↓ -83% |
| Univera | Univera_Medicare_Hamot_2024 | $142.05 | ↓ -75% |
| Aetna | Commercial | $236.75 | ↓ -58% |
| Cigna | New Business ASO | $284.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $284.10 | ↓ -50% |
| Univera | Commercial | $312.51 | ↓ -45% |
| UPMC Health Plan | Commercial | $348.50 | ↓ -39% |
| Cigna | Commercial | $378.80 | ↓ -33% |
| Cigna | EBR | $378.80 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $520.85 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $520.85 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $615.55 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $662.90 | ↑ +17% |
| Aetna | AXA/MMO | $662.90 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $757.60 | ↑ +33% |
| InterGroup | Beech Street | $757.60 | ↑ +33% |
Visitor-reported prices
Comments
Drug assay rufinamide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $516.00 | $20.24 – $688.00 |
| UPMC Horizon-Greenville | Greenville | $541.20 | $24.27 – $32.73 |
| UPMC Jameson | New Castle | $573.00 | $19.02 – $29.28 |
| UPMC Passavant-McCandless | Pittsburgh | $88.20 | $20.44 – $31.15 |
| UPMC Presbyterian | Pittsburgh | $765.00 | $19.85 – $31.15 |
| UPMC St. Margaret | Pittsburgh | $404.40 | $20.44 – $29.82 |
| UPMC Williamsport | Williamsport | $205.80 | $21.17 – $29.59 |
| WellSpan Ephrata Community Hospital | Ephrata | $83.20 | $19.13 – $123.08 |