Mayo mitotane (lysodren) 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$15.30 with Health Partners Plans (Jefferson Health Plan) vs $195.20 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.30 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $16.83 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $17.59 | ↓ -89% |
| Aetna | Medicaid | $18.36 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $18.42 | ↓ -88% |
| Fidelis | Medicare | $18.64 | ↓ -88% |
| United Healthcare | Commercial | $18.83 | ↓ -88% |
| Aetna | Medicare | $19.01 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $19.03 | ↓ -88% |
| Independent Health | Medicare Advantage | $19.20 | ↓ -88% |
| Independent Health | Commercial | $19.20 | ↓ -88% |
| Wellcare | Medicare Advantage | $19.20 | ↓ -88% |
| BCBS of Western NY | Medicare Advantage | $19.57 | ↓ -87% |
| United Healthcare | Medicare | $19.94 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.13 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $20.13 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $20.13 | ↓ -87% |
| Cigna | Medicare | $20.13 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $21.27 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $22.69 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $23.88 | ↓ -85% |
| BCBS of Western NY | Commercial | $25.54 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $26.07 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $26.45 | ↓ -83% |
| Univera | Univera_Medicare_Hamot_2024 | $36.60 | ↓ -76% |
| UPMC Health Plan | Commercial | $42.11 | ↓ -73% |
| Aetna | Commercial | $61.00 | ↓ -61% |
| Cigna | New Business ASO | $73.20 | ↓ -53% |
| Cigna | NBR ASO/FI | $73.20 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $79.93 | ↓ -49% |
| Univera | Commercial | $80.52 | ↓ -48% |
| Cigna | EBR | $97.60 | ↓ -37% |
| Cigna | Commercial | $97.60 | ↓ -37% |
| Highmark BCBS of PA | UPMC Emergent | $127.88 | ↓ -18% |
| InterGroup | Health Coalition Partners/PPO | $158.60 | ↑ +2% |
| Aetna | AXA/MMO | $170.80 | ↑ +10% |
| Multiplan | PPO (Includes PHCS as a Payer) | $170.80 | ↑ +10% |
| InterGroup | Beech Street | $195.20 | ↑ +26% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $195.20 | ↑ +26% |
Visitor-reported prices
Comments
Mayo mitotane (lysodren) therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $189.00 | $15.30 – $252.00 |
| UPMC Bedford | Everett | $89.40 | $6.73 – $132.30 |
| UPMC Carlisle | Carlisle | $381.60 | $15.30 – $190.40 |
| UPMC Cole | Coudersport | $94.80 | $12.12 – $126.40 |
| UPMC Community Osteopathic | Harrisburg | $381.60 | $15.30 – $190.40 |
| UPMC East | Monroeville | $203.40 | $15.30 – $271.20 |
| UPMC Northwest | Seneca | $141.00 | $16.83 – $20.13 |
| UPMC Hanover | Hanover | $381.60 | $15.30 – $29.82 |