Luspatercept-aamt 25 mg subcutaneous solution at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$90.60
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.
$151.00
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.
$22.65 with Univera vs $120.80 with Multiplan — 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 | $22.65 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $26.51 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $29.28 | ↓ -68% |
| Independent Health | Commercial | $37.32 | ↓ -59% |
| Independent Health | Medicare Advantage | $37.32 | ↓ -59% |
| Aetna | Commercial | $37.75 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $41.98 | ↓ -54% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $41.98 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicaid | $41.98 | ↓ -54% |
| Fidelis | Medicare | $41.98 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $42.76 | ↓ -53% |
| Aetna | Medicare | $42.82 | ↓ -53% |
| UPMC Health Plan | Partners/Select | $42.85 | ↓ -53% |
| Wellcare | Medicare Advantage | $43.24 | ↓ -52% |
| BCBS of Western NY | Medicare Advantage | $44.08 | ↓ -51% |
| United Healthcare | Medicare | $44.92 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $45.07 | ↓ -50% |
| Cigna | New Business ASO | $45.30 | ↓ -50% |
| Cigna | NBR ASO/FI | $45.30 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $45.33 | ↓ -50% |
| Cigna | Medicare | $45.34 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $45.34 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $45.34 | ↓ -50% |
| Univera | Commercial | $49.83 | ↓ -45% |
| BCBS of Western NY | Commercial | $52.85 | ↓ -42% |
| UPMC Health Plan | Commercial | $55.57 | ↓ -39% |
| Cigna | EBR | $60.40 | ↓ -33% |
| Cigna | Commercial | $60.40 | ↓ -33% |
| United Healthcare | Commercial | $68.63 | ↓ -24% |
| Highmark BCBS of PA | UPMC Emergent | $72.11 | ↓ -20% |
| InterGroup | Health Coalition Partners/PPO | $98.15 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $105.70 | ↑ +17% |
| Aetna | AXA/MMO | $105.70 | ↑ +17% |
| InterGroup | Beech Street | $120.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $120.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Luspatercept-aamt 25 mg subcutaneous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $6,976.20 | $41.56 – $3,293.75 |
| UPMC Community Osteopathic | Harrisburg | $6,976.20 | $41.56 – $3,293.75 |
| UPMC Hanover | Hanover | $6,976.20 | $41.56 – $67.17 |
| UPMC Lititz | Lititz | $6,976.20 | $41.56 – $67.17 |
| UPMC Memorial | York | $6,976.20 | $23.86 – $67.17 |
| UPMC Somerset | Somerset | $6,976.20 | $28.98 – $41.98 |
| Uniontown Hospital | Uniontown | $18,818.22 | $43.51 – $101.38 |
| WellSpan Waynesboro Hospital | Waynesboro | $29,502.00 | $49.51 – $14,434.00 |