Vaccine tdap >=7 years im at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$42.40
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.
$53.00
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.
$7.95 with Univera vs $126.82 with UPMC Health Plan — 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 | $7.95 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $11.00 | ↓ -74% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $11.50 | ↓ -73% |
| Aetna | Medicaid | $12.00 | ↓ -72% |
| Aetna | Commercial | $13.25 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $13.90 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $15.01 | ↓ -65% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.08 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.61 | ↓ -63% |
| Cigna | NBR ASO/FI | $15.90 | ↓ -63% |
| Cigna | New Business ASO | $15.90 | ↓ -63% |
| Univera | Commercial | $17.49 | ↓ -59% |
| BCBS of Western NY | Commercial | $18.55 | ↓ -56% |
| Aetna | Medicare | $21.20 | ↓ -50% |
| Cigna | EBR | $21.20 | ↓ -50% |
| Cigna | Commercial | $21.20 | ↓ -50% |
| United Healthcare | Commercial | $24.09 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicare | $26.50 | ↓ -38% |
| InterGroup | Health Coalition Partners/PPO | $34.45 | ↓ -19% |
| Aetna | AXA/MMO | $37.10 | ↓ -13% |
| Multiplan | PPO (Includes PHCS as a Payer) | $37.10 | ↓ -13% |
| Independent Health | Commercial | $37.66 | ↓ -11% |
| Independent Health | Medicare Advantage | $37.66 | ↓ -11% |
| Highmark Wholecare (prev Gateway) | Medicaid | $39.81 | ↓ -6% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $39.81 | ↓ -6% |
| InterGroup | Beech Street | $42.40 | ↑ +0% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $42.40 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $53.60 | ↑ +26% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $73.91 | ↑ +74% |
| Highmark BCBS of PA | UPMC Emergent | $85.76 | ↑ +102% |
| UPMC Health Plan | Commercial | $126.82 | ↑ +199% |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $42.40 | $10.00 – $115.89 |
| UPMC Bedford | Everett | $42.40 | $10.50 – $204.95 |
| UPMC Carlisle | Carlisle | $54.00 | $10.50 – $76.50 |
| UPMC Cole | Coudersport | $76.80 | $10.50 – $73.60 |
| UPMC Community Osteopathic | Harrisburg | $54.00 | $10.50 – $123.06 |
| UPMC East | Monroeville | $42.40 | $6.34 – $74.61 |
| UPMC Northwest | Seneca | $42.40 | $11.00 – $191.81 |
| UPMC Hanover | Hanover | $54.00 | $10.50 – $72.77 |