Injection, cangrelor at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,969.80
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.
$3,283.00
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.
$9.60 with Univera vs $51.20 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $9.60 | ↓ -100% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $11.10 | ↓ -99% |
| Aetna | Commercial | $16.00 | ↓ -99% |
| Independent Health | Medicare Advantage | $17.01 | ↓ -99% |
| Independent Health | Commercial | $17.01 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $18.12 | ↓ -99% |
| Cigna | New Business ASO | $19.20 | ↓ -99% |
| Cigna | NBR ASO/FI | $19.20 | ↓ -99% |
| Fidelis | Medicare | $19.98 | ↓ -99% |
| Aetna | Medicare | $20.38 | ↓ -99% |
| UPMC Health Plan | Partners/Select | $20.40 | ↓ -99% |
| Wellcare | Medicare Advantage | $20.58 | ↓ -99% |
| BCBS of Western NY | Medicare Advantage | $20.98 | ↓ -99% |
| Univera | Commercial | $21.12 | ↓ -99% |
| United Healthcare | Medicare | $21.38 | ↓ -99% |
| Cigna | Medicare | $21.58 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $21.58 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21.58 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $21.58 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $21.76 | ↓ -99% |
| BCBS of Western NY | Commercial | $22.40 | ↓ -99% |
| UPMC Health Plan | Commercial | $23.55 | ↓ -99% |
| Cigna | Commercial | $25.60 | ↓ -99% |
| Cigna | EBR | $25.60 | ↓ -99% |
| United Healthcare | Commercial | $29.09 | ↓ -99% |
| Highmark BCBS of PA | UPMC Emergent | $34.82 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $35.20 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $35.20 | ↓ -98% |
| InterGroup | Health Coalition Partners/PPO | $41.60 | ↓ -98% |
| Multiplan | PPO (Includes PHCS as a Payer) | $44.80 | ↓ -98% |
| Aetna | AXA/MMO | $44.80 | ↓ -98% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $51.20 | ↓ -97% |
| InterGroup | Beech Street | $51.20 | ↓ -97% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, cangrelor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $572.40 | $10.99 – $636.65 |
| UPMC Community Osteopathic | Harrisburg | $572.40 | $18.48 – $636.65 |
| UPMC Hanover | Hanover | $572.40 | $19.78 – $31.97 |
| UPMC Jameson | New Castle | $4,273.80 | $11.29 – $24.98 |
| UPMC Lititz | Lititz | $572.40 | $19.78 – $31.97 |
| UPMC Magee | Pittsburgh | $4,032.00 | $11.20 – $21.58 |
| UPMC Memorial | York | $572.40 | $9.04 – $31.97 |
| UPMC Mercy | Pittsburgh | $1,943.40 | $11.10 – $21.98 |