Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$158.40
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.
?
What you pay up front if you don't use insurance.
$264.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7.92 with Highmark BCBS of PA vs $211.20 with InterGroup — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $7.92 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $10.60 | ↓ -93% |
| Highmark BCBS of PA | UPMC Emergent | $16.96 | ↓ -89% |
| BCBS of Western NY | Commercial | $23.03 | ↓ -85% |
| Univera | Univera_Medicare_Hamot_2024 | $39.60 | ↓ -75% |
| UPMC Health Plan | Commercial | $62.16 | ↓ -61% |
| Aetna | Commercial | $66.00 | ↓ -58% |
| Cigna | NBR ASO/FI | $79.20 | ↓ -50% |
| Cigna | New Business ASO | $79.20 | ↓ -50% |
| Univera | Commercial | $87.12 | ↓ -45% |
| Cigna | EBR | $105.60 | ↓ -33% |
| Aetna | Medicare | $105.60 | ↓ -33% |
| Cigna | Commercial | $105.60 | ↓ -33% |
| United Healthcare | Commercial | $119.99 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $132.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $145.20 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $145.20 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $171.60 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $184.80 | ↑ +17% |
| Aetna | AXA/MMO | $184.80 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $211.20 | ↑ +33% |
| InterGroup | Beech Street | $211.20 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $184.20 | $7.92 – $245.60 |
| UPMC Bedford | Everett | $125.40 | $21.96 – $188.10 |
| UPMC Carlisle | Carlisle | $108.00 | $24.66 – $399.00 |
| UPMC Cole | Coudersport | $111.00 | $10.93 – $61.60 |
| UPMC Community Osteopathic | Harrisburg | $108.00 | $13.18 – $153.00 |
| UPMC East | Monroeville | $236.40 | $7.99 – $315.20 |
| UPMC Northwest | Seneca | $136.20 | $20.55 – $150.64 |
| UPMC Hanover | Hanover | $108.00 | $124.49 – $399.00 |