Mayo everolimus therapeutic drug level at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$155.40
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.
$259.00
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.
$13.56 with UPMC Work Partners vs $207.20 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $13.56 | ↓ -91% |
| Fidelis | Medicare | $13.73 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.81 | ↓ -91% |
| Aetna | Medicare | $14.00 | ↓ -91% |
| UPMC Health Plan | Partners/Select | $14.02 | ↓ -91% |
| Independent Health | Commercial | $14.14 | ↓ -91% |
| Independent Health | Medicare Advantage | $14.14 | ↓ -91% |
| Wellcare | Medicare Advantage | $14.14 | ↓ -91% |
| BCBS of Western NY | Medicare Advantage | $14.42 | ↓ -91% |
| United Healthcare | Medicare | $14.69 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.83 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.83 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $14.83 | ↓ -90% |
| Cigna | Medicare | $14.83 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $14.98 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $16.48 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $17.23 | ↓ -89% |
| Aetna | Medicaid | $17.98 | ↓ -88% |
| United Healthcare | Commercial | $18.73 | ↓ -88% |
| BCBS of Western NY | Commercial | $18.79 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $20.82 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $22.22 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $23.39 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $25.53 | ↓ -84% |
| Univera | Univera_Medicare_Hamot_2024 | $38.85 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $41.73 | ↓ -73% |
| Aetna | Commercial | $64.75 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $66.77 | ↓ -57% |
| UPMC Health Plan | Commercial | $69.57 | ↓ -55% |
| Cigna | New Business ASO | $77.70 | ↓ -50% |
| Cigna | NBR ASO/FI | $77.70 | ↓ -50% |
| Univera | Commercial | $85.47 | ↓ -45% |
| Cigna | Commercial | $103.60 | ↓ -33% |
| Cigna | EBR | $103.60 | ↓ -33% |
| InterGroup | Health Coalition Partners/PPO | $168.35 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $181.30 | ↑ +17% |
| Aetna | AXA/MMO | $181.30 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $207.20 | ↑ +33% |
| InterGroup | Beech Street | $207.20 | ↑ +33% |
Visitor-reported prices
Comments
Mayo everolimus therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $120.00 | $13.56 – $160.00 |
| UPMC Bedford | Everett | $88.20 | $4.95 – $132.30 |
| UPMC Carlisle | Carlisle | $34.80 | $7.95 – $49.30 |
| UPMC Community Osteopathic | Harrisburg | $34.80 | $11.60 – $139.33 |
| UPMC East | Monroeville | $203.40 | $13.56 – $271.20 |
| UPMC Northwest | Seneca | $141.60 | $12.45 – $17.23 |
| UPMC Hanover | Hanover | $34.80 | $13.59 – $21.97 |
| UPMC Horizon-Greenville | Greenville | $134.40 | $12.29 – $22.33 |