Inj sulf hexa lipid microsph at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$447.00
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.
$745.00
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.
$11.74 with UPMC Health Plan vs $119.20 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $11.74 | ↓ -97% |
| Independent Health | Medicare Advantage | $18.30 | ↓ -96% |
| Independent Health | Commercial | $18.30 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $18.59 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $18.59 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.59 | ↓ -96% |
| Univera | Univera_Medicare_Hamot_2024 | $22.35 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $23.10 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $32.40 | ↓ -93% |
| Aetna | Commercial | $37.25 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $42.20 | ↓ -91% |
| Cigna | New Business ASO | $44.70 | ↓ -90% |
| Cigna | NBR ASO/FI | $44.70 | ↓ -90% |
| Univera | Commercial | $49.17 | ↓ -89% |
| United Healthcare | Commercial | $51.48 | ↓ -88% |
| Highmark BCBS of PA | UPMC Emergent | $51.84 | ↓ -88% |
| BCBS of Western NY | Commercial | $52.15 | ↓ -88% |
| UPMC Health Plan | Commercial | $54.83 | ↓ -88% |
| Aetna | Medicare | $59.60 | ↓ -87% |
| Cigna | Commercial | $59.60 | ↓ -87% |
| Cigna | EBR | $59.60 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $74.50 | ↓ -83% |
| InterGroup | Health Coalition Partners/PPO | $96.85 | ↓ -78% |
| Multiplan | PPO (Includes PHCS as a Payer) | $104.30 | ↓ -77% |
| Aetna | AXA/MMO | $104.30 | ↓ -77% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $119.20 | ↓ -73% |
| InterGroup | Beech Street | $119.20 | ↓ -73% |
Visitor-reported prices
Comments
Inj sulf hexa lipid microsph at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $397.80 | $11.74 – $530.40 |
| UPMC Jameson | New Castle | $234.60 | $11.74 – $23.51 |
| UPMC Magee | Pittsburgh | $397.80 | $11.74 – $23.32 |
| UPMC McKeesport | Mckeesport | $397.80 | $11.74 – $23.32 |
| UPMC Mercy | Pittsburgh | $397.80 | $11.74 – $23.10 |
| UPMC Passavant-McCandless | Pittsburgh | $398.40 | $11.74 – $23.32 |
| UPMC Presbyterian | Pittsburgh | $529.20 | $11.74 – $23.32 |
| UPMC St. Margaret | Pittsburgh | $373.20 | $11.74 – $23.32 |