Phentolaine mesylate inj at UPMC Hamot

201 State Street, Erie, PA · UPMC · · NPI 1487647590

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$540.00

Cash price

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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

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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 →

Payer
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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
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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

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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

All Pennsylvania hospitals for this procedure →