Nuclear rx IV admin at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$710.40
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.
$1,184.00
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.
$109.74 with Highmark BCBS of PA vs $947.20 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $109.74 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $126.42 | ↓ -82% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $132.17 | ↓ -81% |
| Aetna | Medicaid | $137.92 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $159.74 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $170.44 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $173.31 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $177.60 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $179.42 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $195.86 | ↓ -72% |
| Fidelis | Medicare | $246.61 | ↓ -65% |
| Aetna | Medicare | $251.54 | ↓ -65% |
| UPMC Health Plan | Partners/Select | $251.74 | ↓ -65% |
| Wellcare | Medicare Advantage | $254.01 | ↓ -64% |
| BCBS of Western NY | Medicare Advantage | $258.94 | ↓ -64% |
| United Healthcare | Medicare | $263.87 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicare | $266.31 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $266.34 | ↓ -63% |
| AmeriHealth Caritas | Medicare | $266.34 | ↓ -63% |
| Cigna | Medicare | $266.34 | ↓ -63% |
| Aetna | Commercial | $296.00 | ↓ -58% |
| BCBS of Western NY | Commercial | $329.06 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $331.62 | ↓ -53% |
| Independent Health | Medicare Advantage | $352.45 | ↓ -50% |
| Cigna | New Business ASO | $355.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $355.20 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $357.04 | ↓ -50% |
| UPMC Health Plan | Commercial | $377.57 | ↓ -47% |
| Univera | Commercial | $390.72 | ↓ -45% |
| Independent Health | Commercial | $469.40 | ↓ -34% |
| Cigna | Commercial | $473.60 | ↓ -33% |
| Cigna | EBR | $473.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $530.58 | ↓ -25% |
| United Healthcare | Commercial | $538.13 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $769.60 | ↑ +8% |
| Aetna | AXA/MMO | $828.80 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $828.80 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $947.20 | ↑ +33% |
| InterGroup | Beech Street | $947.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear rx IV admin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $791.40 | $48.77 – $1,121.15 |
| UPMC Community Osteopathic | Harrisburg | $791.40 | $48.77 – $1,121.15 |
| UPMC Hanover | Hanover | $791.40 | $48.77 – $373.64 |
| UPMC Horizon-Greenville | Greenville | $477.00 | $126.42 – $357.04 |
| UPMC Lititz | Lititz | $791.40 | $48.77 – $373.64 |
| UPMC Magee | Pittsburgh | $763.20 | $110.79 – $357.04 |
| UPMC McKeesport | Mckeesport | $486.60 | $110.79 – $357.04 |
| UPMC Memorial | York | $791.40 | $48.77 – $417.37 |