Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution 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

$119.20

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.

$149.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.14 with UPMC Health Plan vs $119.20 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 →

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
UPMC Health Plan Managed Medicaid $1.14 ↓ -99%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $1.81 ↓ -98%
Highmark Wholecare (prev Gateway) Medicaid $1.81 ↓ -98%
Geisinger Medicaid/CHIP $1.81 ↓ -98%
Independent Health Medicare Advantage $4.13 ↓ -97%
Independent Health Commercial $4.13 ↓ -97%
Highmark BCBS of PA Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage $5.17 ↓ -96%
Highmark BCBS of PA Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission $6.57 ↓ -94%
United Healthcare Commercial $9.34 ↓ -92%
Highmark BCBS of PA UPMC Emergent $10.51 ↓ -91%
Univera Univera_Medicare_Hamot_2024 $22.35 ↓ -81%
Aetna Commercial $37.25 ↓ -69%
UPMC Work Partners Workers Comp $42.20 ↓ -65%
Cigna NBR ASO/FI $44.70 ↓ -63%
Cigna New Business ASO $44.70 ↓ -63%
Univera Commercial $49.17 ↓ -59%
BCBS of Western NY Commercial $52.15 ↓ -56%
UPMC Health Plan Commercial $54.83 ↓ -54%
Cigna EBR $59.60 ↓ -50%
Cigna Commercial $59.60 ↓ -50%
Aetna Medicare $59.60 ↓ -50%
Highmark Wholecare (prev Gateway) Medicare $74.50 ↓ -38%
InterGroup Health Coalition Partners/PPO $96.85 ↓ -19%
Aetna AXA/MMO $104.30 ↓ -13%
Multiplan PPO (Includes PHCS as a Payer) $104.30 ↓ -13%
Multiplan Complimentary Network Rate (Includes Multiplan as Payer) $119.20 ↑ +0%
InterGroup Beech Street $119.20 ↑ +0%

Visitor-reported prices

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Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $21.00 $1.14 – $20.80
UPMC Bedford Everett $16.20 $1.14 – $18.00
UPMC Carlisle Carlisle $5.40 $0.27 – $4.84
UPMC Cole Coudersport $4.80 $1.81 – $6.40
UPMC Community Osteopathic Harrisburg $5.40 $0.40 – $8.60
UPMC East Monroeville $31.20 $1.14 – $31.20
UPMC Northwest Seneca $16.20 $1.14 – $13.41
UPMC Hanover Hanover $5.40 $1.81 – $4.84

All Pennsylvania hospitals for this procedure →