3d recon without postprocess indpndt at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$879.00
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.
$1,465.00
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.
$52.31 with BCBS of Western NY vs $1,172.00 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 |
|---|---|---|---|
| BCBS of Western NY | Commercial | $52.31 | ↓ -94% |
| UPMC Health Plan | Commercial | $191.61 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $218.62 | ↓ -75% |
| Univera | Univera_Medicare_Hamot_2024 | $219.75 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $222.48 | ↓ -75% |
| United Healthcare | Commercial | $276.00 | ↓ -69% |
| Aetna | Commercial | $366.25 | ↓ -58% |
| Cigna | NBR ASO/FI | $439.50 | ↓ -50% |
| Cigna | New Business ASO | $439.50 | ↓ -50% |
| Univera | Commercial | $483.45 | ↓ -45% |
| Cigna | Commercial | $586.00 | ↓ -33% |
| Aetna | Medicare | $586.00 | ↓ -33% |
| Cigna | EBR | $586.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $672.27 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $732.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $805.75 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $805.75 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $952.25 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,025.50 | ↑ +17% |
| Aetna | AXA/MMO | $1,025.50 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $1,075.63 | ↑ +22% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,172.00 | ↑ +33% |
| InterGroup | Beech Street | $1,172.00 | ↑ +33% |
Visitor-reported prices
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3d recon without postprocess indpndt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $493.80 | $218.62 – $658.40 |
| UPMC Bedford | Everett | $1,491.00 | $218.62 – $2,236.50 |
| UPMC Carlisle | Carlisle | $1,242.60 | $11.92 – $1,760.35 |
| UPMC Cole | Coudersport | $417.60 | $22.83 – $556.80 |
| UPMC Community Osteopathic | Harrisburg | $1,242.60 | $11.92 – $978.15 |
| UPMC East | Monroeville | $1,272.00 | $179.90 – $1,696.00 |
| UPMC Hanover | Hanover | $1,242.60 | $11.92 – $383.71 |
| UPMC Horizon-Greenville | Greenville | $1,265.40 | $178.17 – $432.82 |