Abd aorta w/runoff s&i at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,226.20
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.
$5,377.00
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.
$268.71 with UPMC Health Plan vs $5,610.03 with BCBS of Western NY — 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 | $268.71 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $280.92 | ↓ -91% |
| Aetna | Medicaid | $293.14 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $339.52 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $362.27 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $368.37 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $381.35 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $416.30 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $638.13 | ↓ -80% |
| Univera | Univera_Medicare_Hamot_2024 | $806.55 | ↓ -75% |
| UPMC Health Plan | Commercial | $1,002.59 | ↓ -69% |
| Aetna | Commercial | $1,344.25 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $1,385.38 | ↓ -57% |
| Cigna | NBR ASO/FI | $1,613.10 | ↓ -50% |
| Cigna | New Business ASO | $1,613.10 | ↓ -50% |
| Univera | Commercial | $1,774.41 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,928.25 | ↓ -40% |
| Cigna | Commercial | $2,150.80 | ↓ -33% |
| Cigna | EBR | $2,150.80 | ↓ -33% |
| United Healthcare | Commercial | $2,443.85 | ↓ -24% |
| Highmark BCBS of PA | UPMC Emergent | $3,085.17 | ↓ -4% |
| Fidelis | Medicare | $3,463.26 | ↑ +7% |
| InterGroup | Health Coalition Partners/PPO | $3,495.05 | ↑ +8% |
| Aetna | Medicare | $3,532.53 | ↑ +9% |
| UPMC Health Plan | Partners/Select | $3,535.30 | ↑ +10% |
| Wellcare | Medicare Advantage | $3,567.16 | ↑ +11% |
| BCBS of Western NY | Medicare Advantage | $3,636.42 | ↑ +13% |
| United Healthcare | Medicare | $3,705.69 | ↑ +15% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,739.97 | ↑ +16% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,740.32 | ↑ +16% |
| AmeriHealth Caritas | Medicare | $3,740.32 | ↑ +16% |
| Cigna | Medicare | $3,740.32 | ↑ +16% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,763.90 | ↑ +17% |
| Aetna | AXA/MMO | $3,763.90 | ↑ +17% |
| Independent Health | Medicare Advantage | $4,114.32 | ↑ +28% |
| InterGroup | Beech Street | $4,301.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,301.60 | ↑ +33% |
| Independent Health | Commercial | $5,479.43 | ↑ +70% |
| BCBS of Western NY | Commercial | $5,610.03 | ↑ +74% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abd aorta w/runoff s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,871.00 | $154.98 – $3,828.00 |
| UPMC Carlisle | Carlisle | $5,906.40 | $203.02 – $8,367.40 |
| UPMC Community Osteopathic | Harrisburg | $5,906.40 | $203.02 – $8,367.40 |
| UPMC Jameson | New Castle | $4,533.00 | $178.23 – $3,750.95 |
| UPMC Lititz | Lititz | $5,906.40 | $203.02 – $4,836.88 |
| UPMC Magee | Pittsburgh | $3,563.40 | $268.71 – $3,240.82 |
| UPMC Memorial | York | $5,906.40 | $203.02 – $4,829.02 |
| UPMC Mercy | Pittsburgh | $4,845.60 | $268.71 – $3,300.84 |