Hemophilus influenza antibdy at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$237.00
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.
$395.00
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.
$15.65 with UPMC Work Partners vs $316.00 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $15.65 | ↓ -93% |
| Fidelis | Medicare | $15.84 | ↓ -93% |
| Aetna | Medicare | $16.16 | ↓ -93% |
| UPMC Health Plan | Partners/Select | $16.17 | ↓ -93% |
| Independent Health | Medicare Advantage | $16.32 | ↓ -93% |
| Wellcare | Medicare Advantage | $16.32 | ↓ -93% |
| Independent Health | Commercial | $16.32 | ↓ -93% |
| BCBS of Western NY | Medicare Advantage | $16.63 | ↓ -93% |
| United Healthcare | Medicare | $16.95 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $17.11 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.11 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $17.11 | ↓ -93% |
| Cigna | Medicare | $17.11 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $21.45 | ↓ -91% |
| BCBS of Western NY | Commercial | $21.70 | ↓ -91% |
| United Healthcare | Commercial | $21.78 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $23.59 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $24.67 | ↓ -90% |
| Aetna | Medicaid | $25.74 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $29.81 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.81 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $33.49 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $36.56 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $42.19 | ↓ -82% |
| UPMC Health Plan | Commercial | $57.07 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $59.25 | ↓ -75% |
| Aetna | Commercial | $98.75 | ↓ -58% |
| Cigna | New Business ASO | $118.50 | ↓ -50% |
| Cigna | NBR ASO/FI | $118.50 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $127.50 | ↓ -46% |
| Univera | Commercial | $130.35 | ↓ -45% |
| Cigna | Commercial | $158.00 | ↓ -33% |
| Cigna | EBR | $158.00 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $204.00 | ↓ -14% |
| InterGroup | Health Coalition Partners/PPO | $256.75 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $276.50 | ↑ +17% |
| Aetna | AXA/MMO | $276.50 | ↑ +17% |
| InterGroup | Beech Street | $316.00 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $316.00 | ↑ +33% |
Visitor-reported prices
Comments
Hemophilus influenza antibdy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $209.40 | $15.65 – $279.20 |
| UPMC Bedford | Everett | $269.40 | $5.72 – $404.10 |
| UPMC Carlisle | Carlisle | $88.80 | $15.68 – $125.80 |
| UPMC Community Osteopathic | Harrisburg | $88.80 | $15.68 – $125.80 |
| UPMC East | Monroeville | $168.60 | $15.65 – $224.80 |
| UPMC Northwest | Seneca | $268.20 | $14.37 – $24.67 |
| UPMC Hanover | Hanover | $88.80 | $15.68 – $29.21 |
| UPMC Horizon-Greenville | Greenville | $159.60 | $14.18 – $29.81 |