Infliximab 100 mg intravenous solution at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$489.60
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.
$612.00
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.
$19.63 with UPMC Health Plan vs $1,363.16 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $19.63 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $31.09 | ↓ -94% |
| Fidelis | Medicare | $31.09 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.09 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $31.09 | ↓ -94% |
| Aetna | Medicare | $31.71 | ↓ -94% |
| UPMC Health Plan | Partners/Select | $31.74 | ↓ -94% |
| Wellcare | Medicare Advantage | $32.02 | ↓ -93% |
| BCBS of Western NY | Medicare Advantage | $32.64 | ↓ -93% |
| United Healthcare | Medicare | $33.27 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $33.57 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $33.58 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $33.58 | ↓ -93% |
| Cigna | Medicare | $33.58 | ↓ -93% |
| Independent Health | Commercial | $34.46 | ↓ -93% |
| Independent Health | Medicare Advantage | $34.46 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $54.15 | ↓ -89% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $77.66 | ↓ -84% |
| Highmark BCBS of PA | UPMC Emergent | $86.64 | ↓ -82% |
| United Healthcare | Commercial | $87.55 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $91.80 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $107.94 | ↓ -78% |
| Aetna | Commercial | $153.00 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $173.32 | ↓ -65% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $174.74 | ↓ -64% |
| Fidelis | Essential Plan | $174.74 | ↓ -64% |
| Cigna | NBR ASO/FI | $183.60 | ↓ -63% |
| Cigna | New Business ASO | $183.60 | ↓ -63% |
| Univera | Commercial | $201.96 | ↓ -59% |
| BCBS of Western NY | Commercial | $214.20 | ↓ -56% |
| UPMC Health Plan | Commercial | $225.22 | ↓ -54% |
| Cigna | EBR | $244.80 | ↓ -50% |
| Cigna | Commercial | $244.80 | ↓ -50% |
| InterGroup | Health Coalition Partners/PPO | $397.80 | ↓ -19% |
| Aetna | AXA/MMO | $428.40 | ↓ -13% |
| Multiplan | PPO (Includes PHCS as a Payer) | $428.40 | ↓ -13% |
| InterGroup | Beech Street | $489.60 | ↑ +0% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $489.60 | ↑ +0% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,135.97 | ↑ +132% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,306.36 | ↑ +167% |
| Aetna | Medicaid | $1,363.16 | ↑ +178% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Infliximab 100 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $429.60 | $19.63 – $1,135.97 |
| UPMC Bedford | Everett | $387.20 | $11.22 – $1,135.97 |
| UPMC Carlisle | Carlisle | $700.20 | $30.78 – $1,135.97 |
| UPMC Cole | Coudersport | $2,907.60 | $31.09 – $102.40 |
| UPMC Community Osteopathic | Harrisburg | $700.20 | $30.78 – $1,135.97 |
| UPMC East | Monroeville | $645.60 | $19.63 – $1,192.76 |
| UPMC Northwest | Seneca | $380.80 | $19.63 – $1,192.76 |
| UPMC Hanover | Hanover | $700.20 | $30.78 – $1,135.97 |