Inj, pemivibart, 4500 mg at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$13,860.00
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.
$17,325.00
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.
$2,598.75 with Univera vs $13,860.00 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $2,598.75 | ↓ -81% |
| Aetna | Commercial | $4,331.25 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $4,570.70 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $4,906.44 | ↓ -65% |
| Cigna | NBR ASO/FI | $5,197.50 | ↓ -63% |
| Cigna | New Business ASO | $5,197.50 | ↓ -63% |
| Univera | Commercial | $5,717.25 | ↓ -59% |
| BCBS of Western NY | Commercial | $6,063.75 | ↓ -56% |
| UPMC Health Plan | Commercial | $6,375.60 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $6,583.68 | ↓ -52% |
| Aetna | Medicare | $6,930.00 | ↓ -50% |
| Cigna | Commercial | $6,930.00 | ↓ -50% |
| Cigna | EBR | $6,930.00 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7,239.00 | ↓ -48% |
| Geisinger | Medicaid/CHIP | $7,239.00 | ↓ -48% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $7,239.00 | ↓ -48% |
| United Healthcare | Commercial | $7,874.21 | ↓ -43% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $8,662.50 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $8,662.50 | ↓ -38% |
| Highmark BCBS of PA | UPMC Emergent | $10,533.89 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $11,261.25 | ↓ -19% |
| Multiplan | PPO (Includes PHCS as a Payer) | $12,127.50 | ↓ -13% |
| Aetna | AXA/MMO | $12,127.50 | ↓ -13% |
| InterGroup | Beech Street | $13,860.00 | ↑ +0% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $13,860.00 | ↑ +0% |
Visitor-reported prices
Comments
Inj, pemivibart, 4500 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $96.00 | $21.92 – $7,383.78 |
| UPMC Community Osteopathic | Harrisburg | $96.00 | $32.00 – $8,903.97 |
| UPMC Hanover | Hanover | $96.00 | $7,239.00 – $7,962.90 |
| UPMC Lititz | Lititz | $96.00 | $7,239.00 – $7,962.90 |
| UPMC Magee | Pittsburgh | $11,019.00 | $4,570.70 – $7,844.71 |
| UPMC Memorial | York | $96.00 | $1,888.14 – $8,560.46 |
| UPMC Somerset | Somerset | $96.00 | $2,293.19 – $7,239.00 |
| UPMC Williamsport | Williamsport | $10,914.60 | $7,239.00 – $7,962.90 |