Exemestane, 25 mg at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$60.60
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.
$75.75
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.
$1.90 with Highmark BCBS of PA vs $60.60 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 | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1.90 | ↓ -97% |
| Highmark BCBS of PA | UPMC Emergent | $3.04 | ↓ -95% |
| Univera | Univera_Medicare_Hamot_2024 | $11.36 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $12.58 | ↓ -79% |
| Aetna | Commercial | $18.94 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $21.45 | ↓ -65% |
| Cigna | NBR ASO/FI | $22.73 | ↓ -62% |
| Cigna | New Business ASO | $22.73 | ↓ -62% |
| Univera | Commercial | $25.00 | ↓ -59% |
| BCBS of Western NY | Commercial | $26.51 | ↓ -56% |
| UPMC Health Plan | Commercial | $27.88 | ↓ -54% |
| Aetna | Medicare | $30.30 | ↓ -50% |
| Cigna | Commercial | $30.30 | ↓ -50% |
| Cigna | EBR | $30.30 | ↓ -50% |
| United Healthcare | Commercial | $34.43 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicare | $37.88 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $41.66 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $41.66 | ↓ -31% |
| InterGroup | Health Coalition Partners/PPO | $49.24 | ↓ -19% |
| Multiplan | PPO (Includes PHCS as a Payer) | $53.02 | ↓ -13% |
| Aetna | AXA/MMO | $53.02 | ↓ -13% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $60.60 | ↑ +0% |
| InterGroup | Beech Street | $60.60 | ↑ +0% |
Visitor-reported prices
Comments
Exemestane, 25 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $75.20 | $11.24 – $80.36 |
| UPMC Magee | Pittsburgh | $93.60 | $3.35 – $80.36 |
| UPMC McKeesport | Mckeesport | $60.60 | $1.87 – $80.36 |
| UPMC Mercy | Pittsburgh | $37.20 | $12.58 – $63.46 |
| UPMC Passavant-McCandless | Pittsburgh | $43.20 | $12.70 – $116.61 |
| UPMC Presbyterian | Pittsburgh | $43.20 | $12.70 – $129.93 |
| UPMC St. Margaret | Pittsburgh | $141.60 | $12.70 – $98.61 |
| UPMC Western Psychiatric | Pittsburgh | $43.20 | $12.45 – $12.45 |