Vaccine dtap-hep b-ipv im at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$84.00
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.
$105.00
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.
$11.00 with UPMC Health Plan vs $177.55 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $11.00 | ↓ -87% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $11.50 | ↓ -86% |
| Aetna | Medicaid | $12.00 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $13.90 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.83 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.08 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.61 | ↓ -81% |
| Univera | Univera_Medicare_Hamot_2024 | $15.75 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.04 | ↓ -80% |
| Aetna | Commercial | $26.25 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $29.74 | ↓ -65% |
| Cigna | New Business ASO | $31.50 | ↓ -63% |
| Cigna | NBR ASO/FI | $31.50 | ↓ -63% |
| Univera | Commercial | $34.65 | ↓ -59% |
| BCBS of Western NY | Commercial | $36.75 | ↓ -56% |
| Aetna | Medicare | $42.00 | ↓ -50% |
| Cigna | EBR | $42.00 | ↓ -50% |
| Cigna | Commercial | $42.00 | ↓ -50% |
| United Healthcare | Commercial | $47.72 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicare | $52.50 | ↓ -38% |
| InterGroup | Health Coalition Partners/PPO | $68.25 | ↓ -19% |
| UPMC Health Plan | Commercial | $71.59 | ↓ -15% |
| Multiplan | PPO (Includes PHCS as a Payer) | $73.50 | ↓ -13% |
| Aetna | AXA/MMO | $73.50 | ↓ -13% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $84.00 | ↑ +0% |
| InterGroup | Beech Street | $84.00 | ↑ +0% |
| Independent Health | Medicare Advantage | $91.21 | ↑ +9% |
| Independent Health | Commercial | $91.21 | ↑ +9% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $110.97 | ↑ +32% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $145.75 | ↑ +74% |
| Highmark BCBS of PA | UPMC Emergent | $177.55 | ↑ +111% |
Visitor-reported prices
Comments
Vaccine dtap-hep b-ipv im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $63.00 | $10.00 – $341.43 |
| UPMC Kane | Kane | $412.80 | $11.00 – $187.79 |
| UPMC Magee | Pittsburgh | $63.00 | $11.00 – $147.14 |
| UPMC Wellsboro | Wellsboro | $39.60 | $11.00 – $17.04 |
| UPMC Williamsport | Williamsport | $37.80 | $11.00 – $17.04 |
| Uniontown Hospital | Uniontown | $63.00 | $11.00 – $126.00 |