Procainamide 100 mg/ml injection (wrapper) at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$222.40
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.
$278.00
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.
$20.85 with Univera vs $631.17 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $20.85 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $24.74 | ↓ -89% |
| Aetna | Commercial | $34.75 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $39.36 | ↓ -82% |
| Cigna | NBR ASO/FI | $41.70 | ↓ -81% |
| Cigna | New Business ASO | $41.70 | ↓ -81% |
| Univera | Commercial | $45.87 | ↓ -79% |
| BCBS of Western NY | Commercial | $48.65 | ↓ -78% |
| UPMC Health Plan | Commercial | $51.15 | ↓ -77% |
| Cigna | Commercial | $55.60 | ↓ -75% |
| Cigna | EBR | $55.60 | ↓ -75% |
| United Healthcare | Commercial | $63.18 | ↓ -72% |
| InterGroup | Health Coalition Partners/PPO | $90.35 | ↓ -59% |
| Aetna | AXA/MMO | $97.30 | ↓ -56% |
| Multiplan | PPO (Includes PHCS as a Payer) | $97.30 | ↓ -56% |
| Independent Health | Commercial | $100.81 | ↓ -55% |
| Independent Health | Medicare Advantage | $100.81 | ↓ -55% |
| InterGroup | Beech Street | $111.20 | ↓ -50% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $111.20 | ↓ -50% |
| UPMC Health Plan | Managed Medicaid | $186.07 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $294.69 | ↑ +33% |
| Highmark Wholecare (prev Gateway) | Medicaid | $294.69 | ↑ +33% |
| Geisinger | Medicaid/CHIP | $294.69 | ↑ +33% |
| Fidelis | Medicare | $294.69 | ↑ +33% |
| Aetna | Medicare | $300.58 | ↑ +35% |
| UPMC Health Plan | Partners/Select | $300.82 | ↑ +35% |
| Wellcare | Medicare Advantage | $303.53 | ↑ +36% |
| BCBS of Western NY | Medicare Advantage | $309.42 | ↑ +39% |
| United Healthcare | Medicare | $315.32 | ↑ +42% |
| Highmark Wholecare (prev Gateway) | Medicare | $318.24 | ↑ +43% |
| Cigna | Medicare | $318.27 | ↑ +43% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $318.27 | ↑ +43% |
| AmeriHealth Caritas | Medicare | $318.27 | ↑ +43% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $394.48 | ↑ +77% |
| Highmark BCBS of PA | UPMC Emergent | $631.17 | ↑ +184% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Procainamide 100 mg/ml injection (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $216.00 | $24.74 – $315.32 |
| UPMC Carlisle | Carlisle | $36.00 | $1.23 – $471.50 |
| UPMC Cole | Coudersport | $106.20 | $2.49 – $294.69 |
| UPMC Community Osteopathic | Harrisburg | $36.00 | $1.80 – $362.47 |
| UPMC East | Monroeville | $148.80 | $16.62 – $309.42 |
| UPMC Hanover | Hanover | $36.00 | $206.31 – $471.50 |
| UPMC Horizon-Greenville | Greenville | $52.00 | $63.05 – $318.27 |
| UPMC Jameson | New Castle | $200.00 | $25.18 – $368.36 |