Leuprolide 30 mg (4 month) intramuscular syringe kit at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,614.40
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.
$4,518.00
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.
$111.41 with UPMC Health Plan vs $3,614.40 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $111.41 | ↓ -97% |
| Independent Health | Commercial | $163.80 | ↓ -95% |
| Independent Health | Medicare Advantage | $163.80 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $176.45 | ↓ -95% |
| Fidelis | Medicare | $176.45 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $176.45 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $176.45 | ↓ -95% |
| Aetna | Medicare | $179.98 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $180.12 | ↓ -95% |
| Wellcare | Medicare Advantage | $181.74 | ↓ -95% |
| BCBS of Western NY | Medicare Advantage | $185.27 | ↓ -95% |
| United Healthcare | Medicare | $188.80 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $190.55 | ↓ -95% |
| Cigna | Medicare | $190.57 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $190.57 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $190.57 | ↓ -95% |
| United Healthcare | Commercial | $493.60 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $514.93 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $536.49 | ↓ -85% |
| Univera | Univera_Medicare_Hamot_2024 | $677.70 | ↓ -81% |
| Highmark BCBS of PA | UPMC Emergent | $823.89 | ↓ -77% |
| Aetna | Commercial | $1,129.50 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $1,279.50 | ↓ -65% |
| Cigna | NBR ASO/FI | $1,355.40 | ↓ -63% |
| Cigna | New Business ASO | $1,355.40 | ↓ -63% |
| Univera | Commercial | $1,490.94 | ↓ -59% |
| BCBS of Western NY | Commercial | $1,581.30 | ↓ -56% |
| UPMC Health Plan | Commercial | $1,662.62 | ↓ -54% |
| Cigna | Commercial | $1,807.20 | ↓ -50% |
| Cigna | EBR | $1,807.20 | ↓ -50% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,066.56 | ↓ -43% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $2,376.55 | ↓ -34% |
| Aetna | Medicaid | $2,479.88 | ↓ -31% |
| InterGroup | Health Coalition Partners/PPO | $2,936.70 | ↓ -19% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,162.60 | ↓ -13% |
| Aetna | AXA/MMO | $3,162.60 | ↓ -13% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $3,614.40 | ↑ +0% |
| InterGroup | Beech Street | $3,614.40 | ↑ +0% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Leuprolide 30 mg (4 month) intramuscular syringe kit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,096.60 | $111.41 – $2,066.56 |
| UPMC Carlisle | Carlisle | $7,358.40 | $61.79 – $2,066.56 |
| UPMC Cole | Coudersport | $32,065.80 | $176.45 – $1,499.20 |
| UPMC Community Osteopathic | Harrisburg | $7,358.40 | $90.20 – $2,066.56 |
| UPMC East | Monroeville | $2,533.20 | $111.41 – $6,516.30 |
| UPMC Northwest | Seneca | $3,070.40 | $111.41 – $2,169.89 |
| UPMC Hanover | Hanover | $7,358.40 | $174.69 – $2,066.56 |
| UPMC Horizon-Greenville | Greenville | $4,845.60 | $111.41 – $331.11 |