Injection, daratumumab 10 mg at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$6,643.20
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.
$11,072.00
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.
$34.20 with Highmark BCBS of PA vs $192.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $34.20 | ↓ -99% |
| Univera | Univera_Medicare_Hamot_2024 | $36.00 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $45.06 | ↓ -99% |
| Independent Health | Medicare Advantage | $58.40 | ↓ -99% |
| Independent Health | Commercial | $58.40 | ↓ -99% |
| Aetna | Commercial | $60.00 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $67.97 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $71.37 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $71.37 | ↓ -99% |
| Fidelis | Medicare | $71.37 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $71.37 | ↓ -99% |
| Cigna | NBR ASO/FI | $72.00 | ↓ -99% |
| Cigna | New Business ASO | $72.00 | ↓ -99% |
| Aetna | Medicare | $72.80 | ↓ -99% |
| UPMC Health Plan | Partners/Select | $72.85 | ↓ -99% |
| Wellcare | Medicare Advantage | $73.51 | ↓ -99% |
| BCBS of Western NY | Medicare Advantage | $74.94 | ↓ -99% |
| United Healthcare | Medicare | $76.37 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $77.07 | ↓ -99% |
| Cigna | Medicare | $77.08 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $77.08 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $77.08 | ↓ -99% |
| Univera | Commercial | $79.20 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $83.83 | ↓ -99% |
| BCBS of Western NY | Commercial | $84.00 | ↓ -99% |
| UPMC Health Plan | Commercial | $88.32 | ↓ -99% |
| Cigna | EBR | $96.00 | ↓ -99% |
| Cigna | Commercial | $96.00 | ↓ -99% |
| United Healthcare | Commercial | $109.08 | ↓ -98% |
| Highmark BCBS of PA | UPMC Emergent | $134.13 | ↓ -98% |
| InterGroup | Health Coalition Partners/PPO | $156.00 | ↓ -98% |
| Multiplan | PPO (Includes PHCS as a Payer) | $168.00 | ↓ -97% |
| Aetna | AXA/MMO | $168.00 | ↓ -97% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $192.00 | ↓ -97% |
| InterGroup | Beech Street | $192.00 | ↓ -97% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, daratumumab 10 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,384.40 | $34.20 – $163.20 |
| UPMC Cole | Coudersport | $7,323.60 | $71.37 – $2,575.20 |
| UPMC Northwest | Seneca | $682.80 | $45.06 – $77.08 |
| UPMC Muncy | Muncy | $9,445.80 | $71.37 – $78.51 |
| UPMC Presbyterian | Pittsburgh | $7,892.40 | $34.53 – $78.51 |
| UPMC Wellsboro | Wellsboro | $9,445.80 | $71.37 – $78.51 |
| UPMC Williamsport | Williamsport | $314.40 | $71.37 – $76.37 |
| UPMC St. Margaret | Pittsburgh | not published | $34.53 – $78.51 |