Fomepizole 1 gram/ml intravenous solution at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,905.40
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.
$6,509.00
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.
$6.28 with Fidelis vs $52.00 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 |
|---|---|---|---|
| Fidelis | Medicare | $6.28 | ↓ -100% |
| Aetna | Medicare | $6.41 | ↓ -100% |
| UPMC Health Plan | Partners/Select | $6.41 | ↓ -100% |
| Wellcare | Medicare Advantage | $6.47 | ↓ -100% |
| BCBS of Western NY | Medicare Advantage | $6.59 | ↓ -100% |
| United Healthcare | Medicare | $6.72 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6.78 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $6.78 | ↓ -100% |
| AmeriHealth Caritas | Medicare | $6.78 | ↓ -100% |
| Cigna | Medicare | $6.78 | ↓ -100% |
| Univera | Univera_Medicare_Hamot_2024 | $9.75 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $14.40 | ↓ -100% |
| Independent Health | Commercial | $15.30 | ↓ -100% |
| Independent Health | Medicare Advantage | $15.30 | ↓ -100% |
| Aetna | Commercial | $16.25 | ↓ -100% |
| United Healthcare | Commercial | $16.50 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $18.41 | ↓ -100% |
| Cigna | New Business ASO | $19.50 | ↓ -100% |
| Cigna | NBR ASO/FI | $19.50 | ↓ -100% |
| Univera | Commercial | $21.45 | ↓ -99% |
| BCBS of Western NY | Commercial | $22.75 | ↓ -99% |
| Highmark BCBS of PA | UPMC Emergent | $23.04 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $23.46 | ↓ -99% |
| UPMC Health Plan | Commercial | $23.92 | ↓ -99% |
| Cigna | EBR | $26.00 | ↓ -99% |
| Cigna | Commercial | $26.00 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $35.75 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $35.75 | ↓ -99% |
| InterGroup | Health Coalition Partners/PPO | $42.25 | ↓ -99% |
| Aetna | AXA/MMO | $45.50 | ↓ -99% |
| Multiplan | PPO (Includes PHCS as a Payer) | $45.50 | ↓ -99% |
| InterGroup | Beech Street | $52.00 | ↓ -99% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $52.00 | ↓ -99% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,671.60 | $6.40 – $23.46 |
| UPMC Carlisle | Carlisle | $600.00 | $3.45 – $558.45 |
| UPMC Cole | Coudersport | $2,265.60 | $14.40 – $3,020.80 |
| UPMC Community Osteopathic | Harrisburg | $600.00 | $6.22 – $558.45 |
| UPMC East | Monroeville | $6,012.60 | $6.16 – $80.00 |
| UPMC Hanover | Hanover | $600.00 | $6.22 – $10.05 |
| UPMC Horizon-Greenville | Greenville | $6,093.60 | $5.62 – $11.78 |
| UPMC Jameson | New Castle | $2,932.80 | $6.28 – $23.87 |