Phentolaine mesylate inj at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$540.00
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.
$675.00
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.
$47.90 with Highmark BCBS of PA vs $893.70 with Highmark BCBS of PA — 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 | $47.90 | ↓ -91% |
| Univera | Univera_Medicare_Hamot_2024 | $101.25 | ↓ -81% |
| Aetna | Commercial | $168.75 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $191.16 | ↓ -65% |
| Cigna | NBR ASO/FI | $202.50 | ↓ -63% |
| Cigna | New Business ASO | $202.50 | ↓ -63% |
| Univera | Commercial | $222.75 | ↓ -59% |
| BCBS of Western NY | Commercial | $236.25 | ↓ -56% |
| UPMC Health Plan | Commercial | $248.40 | ↓ -54% |
| Cigna | EBR | $270.00 | ↓ -50% |
| Cigna | Commercial | $270.00 | ↓ -50% |
| UPMC Health Plan | Managed Medicaid | $272.78 | ↓ -49% |
| United Healthcare | Commercial | $306.79 | ↓ -43% |
| Independent Health | Medicare Advantage | $406.84 | ↓ -25% |
| Independent Health | Commercial | $406.84 | ↓ -25% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $432.02 | ↓ -20% |
| Highmark Wholecare (prev Gateway) | Medicaid | $432.02 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $432.02 | ↓ -20% |
| Fidelis | Medicare | $432.02 | ↓ -20% |
| InterGroup | Health Coalition Partners/PPO | $438.75 | ↓ -19% |
| Aetna | Medicare | $440.66 | ↓ -18% |
| UPMC Health Plan | Partners/Select | $441.01 | ↓ -18% |
| Wellcare | Medicare Advantage | $444.98 | ↓ -18% |
| BCBS of Western NY | Medicare Advantage | $453.62 | ↓ -16% |
| United Healthcare | Medicare | $462.26 | ↓ -14% |
| Highmark Wholecare (prev Gateway) | Medicare | $466.54 | ↓ -14% |
| AmeriHealth Caritas | Medicare | $466.58 | ↓ -14% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $466.58 | ↓ -14% |
| Cigna | Medicare | $466.58 | ↓ -14% |
| Aetna | AXA/MMO | $472.50 | ↓ -13% |
| Multiplan | PPO (Includes PHCS as a Payer) | $472.50 | ↓ -13% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $540.00 | ↑ +0% |
| InterGroup | Beech Street | $540.00 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $558.56 | ↑ +3% |
| Highmark BCBS of PA | UPMC Emergent | $893.70 | ↑ +66% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Phentolaine mesylate inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $383.20 | $47.90 – $462.26 |
| UPMC Carlisle | Carlisle | $293.40 | $20.55 – $691.23 |
| UPMC Community Osteopathic | Harrisburg | $293.40 | $30.00 – $531.39 |
| UPMC East | Monroeville | $270.40 | $40.42 – $453.62 |
| UPMC Northwest | Seneca | $460.00 | $124.32 – $466.58 |
| UPMC Hanover | Hanover | $293.40 | $427.70 – $691.23 |
| UPMC Horizon-Greenville | Greenville | $375.20 | $122.08 – $466.58 |
| UPMC Jameson | New Castle | $1,699.20 | $48.75 – $540.02 |