Aco med nutria tx/group, ea 30 min 97804aco at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$20.40
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.
?
What you pay up front if you don't use insurance.
$34.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.10 with Univera vs $60.80 with Molina Healthcare of NY — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $5.10 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5.11 | ↓ -75% |
| Aetna | Commercial | $8.50 | ↓ -58% |
| UPMC Health Plan | Commercial | $9.00 | ↓ -56% |
| Cigna | NBR ASO/FI | $10.20 | ↓ -50% |
| Cigna | New Business ASO | $10.20 | ↓ -50% |
| Univera | Commercial | $11.22 | ↓ -45% |
| Cigna | Commercial | $13.60 | ↓ -33% |
| Aetna | Medicare | $13.60 | ↓ -33% |
| Cigna | EBR | $13.60 | ↓ -33% |
| United Healthcare | Commercial | $15.45 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $15.45 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $17.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $18.70 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $18.70 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $22.10 | ↑ +8% |
| Aetna | AXA/MMO | $23.80 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $23.80 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $24.71 | ↑ +21% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $27.02 | ↑ +32% |
| InterGroup | Beech Street | $27.20 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $27.20 | ↑ +33% |
| Independent Health | Medicare Advantage | $27.63 | ↑ +35% |
| Independent Health | Commercial | $36.80 | ↑ +80% |
| BCBS of Western NY | Commercial | $37.09 | ↑ +82% |
| Fidelis | Essential Plan | $60.80 | ↑ +198% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $60.80 | ↑ +198% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $20.40 | $5.11 – $27.20 |
| UPMC Carlisle | Carlisle | $52.80 | $12.06 – $115.00 |
| UPMC Cole | Coudersport | $52.80 | $16.30 – $70.40 |
| UPMC Community Osteopathic | Harrisburg | $52.80 | $12.46 – $74.80 |
| UPMC Hanover | Hanover | $52.80 | $12.46 – $115.00 |
| UPMC Lititz | Lititz | $52.80 | $12.46 – $115.00 |
| UPMC Magee | Pittsburgh | $25.80 | $5.16 – $21.53 |
| UPMC Memorial | York | $52.80 | $4.17 – $115.00 |