Levothyroxine 100 mcg intravenous powder for solution at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$16.80
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.
$28.00
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.
$3.75 with Univera vs $20.00 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $3.75 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $4.34 | ↓ -74% |
| Aetna | Commercial | $6.25 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $6.87 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6.87 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.87 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $7.08 | ↓ -58% |
| Cigna | New Business ASO | $7.50 | ↓ -55% |
| Cigna | NBR ASO/FI | $7.50 | ↓ -55% |
| Univera | Commercial | $8.25 | ↓ -51% |
| BCBS of Western NY | Commercial | $8.75 | ↓ -48% |
| UPMC Health Plan | Commercial | $9.20 | ↓ -45% |
| Cigna | EBR | $10.00 | ↓ -40% |
| Cigna | Commercial | $10.00 | ↓ -40% |
| Aetna | Medicare | $10.00 | ↓ -40% |
| United Healthcare | Commercial | $11.36 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $12.04 | ↓ -28% |
| Highmark Wholecare (prev Gateway) | Medicare | $12.50 | ↓ -26% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $12.50 | ↓ -26% |
| InterGroup | Health Coalition Partners/PPO | $16.25 | ↓ -3% |
| Aetna | AXA/MMO | $17.50 | ↑ +4% |
| Multiplan | PPO (Includes PHCS as a Payer) | $17.50 | ↑ +4% |
| Highmark BCBS of PA | UPMC Emergent | $19.26 | ↑ +15% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $20.00 | ↑ +19% |
| InterGroup | Beech Street | $20.00 | ↑ +19% |
Visitor-reported prices
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Levothyroxine 100 mcg intravenous powder for solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $22.80 | $4.24 – $22.40 |
| UPMC Bedford | Everett | $19.80 | $4.34 – $25.20 |
| UPMC East | Monroeville | $19.80 | $2.99 – $20.00 |
| UPMC Northwest | Seneca | $19.80 | $4.34 – $11.00 |
| UPMC Horizon-Greenville | Greenville | $19.80 | $4.34 – $10.80 |
| UPMC Magee | Pittsburgh | $21.00 | $4.34 – $14.35 |
| UPMC Mercy | Pittsburgh | $21.00 | $4.24 – $6.87 |
| UPMC Passavant-McCandless | Pittsburgh | $19.80 | $4.34 – $11.75 |