Inj brixadi, more than 7 day at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,344.80
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.
$5,431.00
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.
$814.65 with Univera vs $4,344.80 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $814.65 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $1,062.36 | ↓ -76% |
| Aetna | Commercial | $1,357.75 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $1,538.06 | ↓ -65% |
| Cigna | New Business ASO | $1,629.30 | ↓ -63% |
| Cigna | NBR ASO/FI | $1,629.30 | ↓ -63% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $1,651.64 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $1,682.55 | ↓ -61% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,682.55 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,682.55 | ↓ -61% |
| Fidelis | Medicare | $1,682.55 | ↓ -61% |
| Aetna | Medicare | $1,716.20 | ↓ -60% |
| UPMC Health Plan | Partners/Select | $1,717.55 | ↓ -60% |
| Wellcare | Medicare Advantage | $1,733.03 | ↓ -60% |
| BCBS of Western NY | Medicare Advantage | $1,766.68 | ↓ -59% |
| Univera | Commercial | $1,792.23 | ↓ -59% |
| United Healthcare | Medicare | $1,800.33 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,816.99 | ↓ -58% |
| Cigna | Medicare | $1,817.15 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,817.15 | ↓ -58% |
| AmeriHealth Caritas | Medicare | $1,817.15 | ↓ -58% |
| BCBS of Western NY | Commercial | $1,900.85 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,947.12 | ↓ -55% |
| UPMC Health Plan | Commercial | $1,998.61 | ↓ -54% |
| Cigna | EBR | $2,172.40 | ↓ -50% |
| Cigna | Commercial | $2,172.40 | ↓ -50% |
| United Healthcare | Commercial | $2,468.39 | ↓ -43% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,715.50 | ↓ -38% |
| Highmark BCBS of PA | UPMC Emergent | $3,115.39 | ↓ -28% |
| InterGroup | Health Coalition Partners/PPO | $3,530.15 | ↓ -19% |
| Fidelis | Essential Plan | $3,716.19 | ↓ -14% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $3,716.19 | ↓ -14% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,801.70 | ↓ -13% |
| Aetna | AXA/MMO | $3,801.70 | ↓ -13% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,344.80 | ↑ +0% |
| InterGroup | Beech Street | $4,344.80 | ↑ +0% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj brixadi, more than 7 day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,846.40 | $649.93 – $4,032.40 |
| UPMC Community Osteopathic | Harrisburg | $2,846.40 | $948.80 – $4,032.40 |
| UPMC Hanover | Hanover | $2,846.40 | $1,665.72 – $2,692.08 |
| UPMC Lititz | Lititz | $2,846.40 | $1,665.72 – $2,692.08 |
| UPMC Magee | Pittsburgh | $4,345.20 | $1,062.36 – $2,320.05 |
| UPMC McKeesport | Mckeesport | $4,344.80 | $691.66 – $1,850.81 |
| UPMC Memorial | York | $2,846.40 | $558.41 – $2,692.08 |
| UPMC Mercy | Pittsburgh | $4,344.80 | $685.14 – $1,850.81 |