Thyrotropin alfa 0.9 mg intramuscular solution at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,949.60
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.
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What you pay up front if you don't use insurance.
$6,187.00
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.
$294.40 with Highmark BCBS of PA vs $4,949.60 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 →
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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 | $294.40 | ↓ -94% |
| Univera | Univera_Medicare_Hamot_2024 | $928.05 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $1,336.25 | ↓ -73% |
| Aetna | Commercial | $1,546.75 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $1,752.16 | ↓ -65% |
| Cigna | NBR ASO/FI | $1,856.10 | ↓ -63% |
| Cigna | New Business ASO | $1,856.10 | ↓ -63% |
| Independent Health | Medicare Advantage | $1,895.81 | ↓ -62% |
| Independent Health | Commercial | $1,895.81 | ↓ -62% |
| Univera | Commercial | $2,041.71 | ↓ -59% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,116.32 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,116.32 | ↓ -57% |
| Geisinger | Medicaid/CHIP | $2,116.32 | ↓ -57% |
| Fidelis | Medicare | $2,116.32 | ↓ -57% |
| Aetna | Medicare | $2,158.65 | ↓ -56% |
| UPMC Health Plan | Partners/Select | $2,160.34 | ↓ -56% |
| BCBS of Western NY | Commercial | $2,165.45 | ↓ -56% |
| Wellcare | Medicare Advantage | $2,179.81 | ↓ -56% |
| BCBS of Western NY | Medicare Advantage | $2,222.14 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,254.06 | ↓ -54% |
| United Healthcare | Medicare | $2,264.46 | ↓ -54% |
| UPMC Health Plan | Commercial | $2,276.82 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,285.41 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,285.63 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $2,285.63 | ↓ -54% |
| Cigna | Medicare | $2,285.63 | ↓ -54% |
| Cigna | Commercial | $2,474.80 | ↓ -50% |
| Cigna | EBR | $2,474.80 | ↓ -50% |
| United Healthcare | Commercial | $2,811.99 | ↓ -43% |
| Highmark BCBS of PA | UPMC Emergent | $3,606.50 | ↓ -27% |
| InterGroup | Health Coalition Partners/PPO | $4,021.55 | ↓ -19% |
| Aetna | AXA/MMO | $4,330.90 | ↓ -13% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,330.90 | ↓ -13% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,949.60 | ↑ +0% |
| InterGroup | Beech Street | $4,949.60 | ↑ +0% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Thyrotropin alfa 0.9 mg intramuscular solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,097.60 | $294.40 – $6,097.60 |
| UPMC Bedford | Everett | $6,332.80 | $763.57 – $7,124.40 |
| UPMC Carlisle | Carlisle | $1,186.20 | $270.85 – $3,386.11 |
| UPMC Cole | Coudersport | $1,864.20 | $500.35 – $2,116.32 |
| UPMC Community Osteopathic | Harrisburg | $1,186.20 | $395.40 – $2,603.08 |
| UPMC East | Monroeville | $19,696.80 | $297.20 – $26,262.40 |
| UPMC Hanover | Hanover | $1,186.20 | $2,095.16 – $3,386.11 |
| UPMC Horizon-Greenville | Greenville | $5,934.00 | $1,157.65 – $2,285.63 |