healthcosts.net
Abdominal Ultrasound (limited) at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$475.80
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.
$793.00
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.
$68.13 with BCBS of Western NY vs $634.40 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 | $68.13 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $68.75 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $71.88 | ↓ -85% |
| Aetna | Medicaid | $75.00 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $86.87 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $92.69 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $94.25 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $97.53 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $97.57 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $106.51 | ↓ -78% |
| Fidelis | Medicare | $117.01 | ↓ -75% |
| Univera | Univera_Medicare_Hamot_2024 | $118.95 | ↓ -75% |
| Aetna | Medicare | $119.35 | ↓ -75% |
| UPMC Health Plan | Partners/Select | $119.44 | ↓ -75% |
| Wellcare | Medicare Advantage | $120.52 | ↓ -75% |
| BCBS of Western NY | Medicare Advantage | $122.86 | ↓ -74% |
| United Healthcare | Medicare | $125.20 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $126.36 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $126.37 | ↓ -73% |
| Cigna | Medicare | $126.37 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $126.37 | ↓ -73% |
| UPMC Health Plan | Commercial | $149.44 | ↓ -69% |
| Independent Health | Medicare Advantage | $166.40 | ↓ -65% |
| Aetna | Commercial | $198.25 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $219.23 | ↓ -54% |
| Independent Health | Commercial | $221.61 | ↓ -53% |
| Cigna | NBR ASO/FI | $237.90 | ↓ -50% |
| Cigna | New Business ASO | $237.90 | ↓ -50% |
| Univera | Commercial | $261.69 | ↓ -45% |
| United Healthcare | Commercial | $276.00 | ↓ -42% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $294.71 | ↓ -38% |
| Cigna | EBR | $317.20 | ↓ -33% |
| Cigna | Commercial | $317.20 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $471.54 | ↓ -1% |
| InterGroup | Health Coalition Partners/PPO | $515.45 | ↑ +8% |
| Aetna | AXA/MMO | $555.10 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $555.10 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $634.40 | ↑ +33% |
| InterGroup | Beech Street | $634.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (limited) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $897.00 | $68.75 – $1,196.00 |
| UPMC Passavant-McCandless | Pittsburgh | $1,039.80 | $68.75 – $1,473.05 |
| UPMC Kane | Kane | $301.80 | $23.45 – $198.49 |
| UPMC Carlisle | Carlisle | $394.20 | $30.69 – $207.72 |
| UPMC Altoona | Altoona | $415.80 | $37.50 – $554.40 |
| UPMC Bedford | Everett | $291.00 | $36.58 – $436.50 |
| UPMC Cole | Coudersport | $280.80 | $65.62 – $374.40 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $44.80 – $299.26 |