Inj, abilify maintena, 1 mg at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$17.00
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.
$21.25
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.
$3.05 with Highmark BCBS of PA vs $3,333.48 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3.05 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $3.15 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $4.59 | ↓ -73% |
| Aetna | Commercial | $5.25 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $5.95 | ↓ -65% |
| Cigna | New Business ASO | $6.30 | ↓ -63% |
| Cigna | NBR ASO/FI | $6.30 | ↓ -63% |
| Independent Health | Commercial | $6.31 | ↓ -63% |
| Independent Health | Medicare Advantage | $6.31 | ↓ -63% |
| Univera | Commercial | $6.93 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $7.28 | ↓ -57% |
| Fidelis | Medicare | $7.28 | ↓ -57% |
| Geisinger | Medicaid/CHIP | $7.28 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.28 | ↓ -57% |
| BCBS of Western NY | Commercial | $7.35 | ↓ -57% |
| Aetna | Medicare | $7.43 | ↓ -56% |
| UPMC Health Plan | Partners/Select | $7.43 | ↓ -56% |
| Wellcare | Medicare Advantage | $7.50 | ↓ -56% |
| BCBS of Western NY | Medicare Advantage | $7.64 | ↓ -55% |
| UPMC Health Plan | Commercial | $7.73 | ↓ -55% |
| United Healthcare | Medicare | $7.79 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.86 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $7.86 | ↓ -54% |
| Cigna | Medicare | $7.86 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7.86 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $8.04 | ↓ -53% |
| Cigna | Commercial | $8.40 | ↓ -51% |
| Cigna | EBR | $8.40 | ↓ -51% |
| United Healthcare | Commercial | $9.54 | ↓ -44% |
| Highmark BCBS of PA | UPMC Emergent | $12.86 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $13.65 | ↓ -20% |
| Multiplan | PPO (Includes PHCS as a Payer) | $14.70 | ↓ -14% |
| Aetna | AXA/MMO | $14.70 | ↓ -14% |
| InterGroup | Beech Street | $16.80 | ↓ -1% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $16.80 | ↓ -1% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,777.90 | ↑ +16241% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $3,194.59 | ↑ +18692% |
| Aetna | Medicaid | $3,333.48 | ↑ +19509% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj, abilify maintena, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC McKeesport | Mckeesport | $8,046.00 | $3.08 – $2,293.72 |
| UPMC Mercy | Pittsburgh | $2,848.80 | $3.05 – $3,194.59 |
| UPMC Muncy | Muncy | $7,107.60 | $7.28 – $8.00 |
| UPMC Presbyterian | Pittsburgh | $13,261.20 | $3.08 – $943.94 |
| UPMC St. Margaret | Pittsburgh | $4,402.80 | $3.08 – $3,055.69 |
| UPMC Wellsboro | Wellsboro | $7,107.60 | $7.28 – $2,777.90 |
| UPMC Williamsport | Williamsport | $7,107.60 | $7.28 – $7.79 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $4.68 – $15.20 |