Pegaspargase injection at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$11,001.60
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.
?
What you pay up front if you don't use insurance.
$18,336.00
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.
$2,456.68 with Highmark BCBS of PA vs $48,910.83 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,456.68 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $2,750.40 | ↓ -75% |
| Aetna | Commercial | $4,584.00 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $5,192.76 | ↓ -53% |
| Cigna | NBR ASO/FI | $5,500.80 | ↓ -50% |
| Cigna | New Business ASO | $5,500.80 | ↓ -50% |
| Univera | Commercial | $6,050.88 | ↓ -45% |
| BCBS of Western NY | Commercial | $6,417.60 | ↓ -42% |
| UPMC Health Plan | Commercial | $6,747.65 | ↓ -39% |
| Cigna | Commercial | $7,334.40 | ↓ -33% |
| Cigna | EBR | $7,334.40 | ↓ -33% |
| United Healthcare | Commercial | $8,333.71 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $11,918.40 | ↑ +8% |
| Aetna | AXA/MMO | $12,835.20 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $12,835.20 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $14,668.80 | ↑ +33% |
| InterGroup | Beech Street | $14,668.80 | ↑ +33% |
| UPMC Health Plan | Managed Medicaid | $17,946.95 | ↑ +63% |
| Independent Health | Commercial | $23,198.89 | ↑ +111% |
| Independent Health | Medicare Advantage | $23,198.89 | ↑ +111% |
| Geisinger | Medicaid/CHIP | $28,424.06 | ↑ +158% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28,424.06 | ↑ +158% |
| Fidelis | Medicare | $28,424.06 | ↑ +158% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28,424.06 | ↑ +158% |
| Aetna | Medicare | $28,992.54 | ↑ +164% |
| UPMC Health Plan | Partners/Select | $29,015.28 | ↑ +164% |
| Wellcare | Medicare Advantage | $29,276.78 | ↑ +166% |
| BCBS of Western NY | Medicare Advantage | $29,845.26 | ↑ +171% |
| United Healthcare | Medicare | $30,413.74 | ↑ +176% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $30,569.27 | ↑ +178% |
| Highmark Wholecare (prev Gateway) | Medicare | $30,695.14 | ↑ +179% |
| AmeriHealth Caritas | Medicare | $30,697.98 | ↑ +179% |
| Cigna | Medicare | $30,697.98 | ↑ +179% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30,697.98 | ↑ +179% |
| Highmark BCBS of PA | UPMC Emergent | $48,910.83 | ↑ +345% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pegaspargase injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12,652.20 | $2,456.68 – $30,413.74 |
| UPMC Magee | Pittsburgh | $19,415.40 | $2,480.08 – $30,697.98 |
| UPMC Muncy | Muncy | $62,371.80 | $28,424.06 – $31,266.46 |
| UPMC Passavant-McCandless | Pittsburgh | $19,415.40 | $2,480.08 – $31,266.47 |
| UPMC Presbyterian | Pittsburgh | $19,415.40 | $2,480.08 – $31,266.47 |
| UPMC Wellsboro | Wellsboro | $62,371.80 | $28,424.06 – $31,266.46 |
| UPMC Western Psychiatric | Pittsburgh | $19,415.40 | $2,430.25 – $31,266.47 |