Methotrexate sodium (pf) 1 gram solution for injection at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$316.00
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.
$395.00
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.
$1.78 with UPMC Health Plan vs $316.00 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $1.78 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1.84 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $2.11 | ↓ -99% |
| Aetna | Medicaid | $2.21 | ↓ -99% |
| Independent Health | Medicare Advantage | $2.58 | ↓ -99% |
| Independent Health | Commercial | $2.58 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2.82 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $2.82 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2.82 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $3.83 | ↓ -99% |
| Highmark BCBS of PA | UPMC Emergent | $6.13 | ↓ -98% |
| United Healthcare | Commercial | $8.25 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $11.02 | ↓ -97% |
| Univera | Univera_Medicare_Hamot_2024 | $59.25 | ↓ -81% |
| Aetna | Commercial | $98.75 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $111.86 | ↓ -65% |
| Cigna | New Business ASO | $118.50 | ↓ -63% |
| Cigna | NBR ASO/FI | $118.50 | ↓ -63% |
| Univera | Commercial | $130.35 | ↓ -59% |
| BCBS of Western NY | Commercial | $138.25 | ↓ -56% |
| UPMC Health Plan | Commercial | $145.36 | ↓ -54% |
| Aetna | Medicare | $158.00 | ↓ -50% |
| Cigna | EBR | $158.00 | ↓ -50% |
| Cigna | Commercial | $158.00 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $197.50 | ↓ -38% |
| InterGroup | Health Coalition Partners/PPO | $256.75 | ↓ -19% |
| Multiplan | PPO (Includes PHCS as a Payer) | $276.50 | ↓ -13% |
| Aetna | AXA/MMO | $276.50 | ↓ -13% |
| InterGroup | Beech Street | $316.00 | ↑ +0% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $316.00 | ↑ +0% |
Visitor-reported prices
Comments
Methotrexate sodium (pf) 1 gram solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $66.20 | $1.78 – $65.60 |
| UPMC Cole | Coudersport | $112.80 | $2.82 – $150.40 |
| UPMC East | Monroeville | $320.00 | $1.78 – $320.00 |
| UPMC Northwest | Seneca | $279.20 | $1.40 – $16.06 |
| UPMC Horizon-Greenville | Greenville | $280.00 | $1.78 – $15.78 |
| UPMC Magee | Pittsburgh | $776.40 | $1.78 – $11.13 |
| UPMC Mercy | Pittsburgh | $177.60 | $1.53 – $11.02 |
| UPMC Muncy | Muncy | $332.00 | $2.82 – $3.10 |