Apply interstit radiat compl at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$5,286.00
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.
$8,810.00
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.
$361.85 with UPMC Health Plan vs $7,048.00 with Multiplan — 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 | $361.85 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $378.29 | ↓ -93% |
| Aetna | Medicaid | $394.74 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $457.21 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $487.83 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $496.06 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $513.52 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $560.60 | ↓ -89% |
| Fidelis | Medicare | $763.41 | ↓ -86% |
| Aetna | Medicare | $778.68 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $779.29 | ↓ -85% |
| Wellcare | Medicare Advantage | $786.31 | ↓ -85% |
| BCBS of Western NY | Medicare Advantage | $801.58 | ↓ -85% |
| United Healthcare | Medicare | $816.85 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $824.41 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $824.48 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $824.48 | ↓ -84% |
| Cigna | Medicare | $824.48 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $902.97 | ↓ -83% |
| Independent Health | Medicare Advantage | $1,099.40 | ↓ -79% |
| Univera | Univera_Medicare_Hamot_2024 | $1,321.50 | ↓ -75% |
| UPMC Health Plan | Commercial | $1,429.63 | ↓ -73% |
| Independent Health | Commercial | $1,464.17 | ↓ -72% |
| BCBS of Western NY | Commercial | $1,838.14 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $2,036.11 | ↓ -61% |
| Aetna | Commercial | $2,202.50 | ↓ -58% |
| Cigna | NBR ASO/FI | $2,643.00 | ↓ -50% |
| Cigna | New Business ASO | $2,643.00 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,728.53 | ↓ -48% |
| Univera | Commercial | $2,907.30 | ↓ -45% |
| Cigna | Commercial | $3,524.00 | ↓ -33% |
| Cigna | EBR | $3,524.00 | ↓ -33% |
| United Healthcare | Commercial | $4,004.14 | ↓ -24% |
| Highmark BCBS of PA | UPMC Emergent | $4,365.61 | ↓ -17% |
| InterGroup | Health Coalition Partners/PPO | $5,726.50 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,167.00 | ↑ +17% |
| Aetna | AXA/MMO | $6,167.00 | ↑ +17% |
| InterGroup | Beech Street | $7,048.00 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $7,048.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Apply interstit radiat compl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,441.40 | $240.97 – $3,458.65 |
| UPMC Community Osteopathic | Harrisburg | $2,441.40 | $240.97 – $3,458.65 |
| UPMC East | Monroeville | $3,918.60 | $361.85 – $5,224.80 |
| UPMC Hanover | Hanover | $2,441.40 | $240.97 – $2,033.17 |
| UPMC Horizon-Greenville | Greenville | $2,563.20 | $361.85 – $1,942.81 |
| UPMC Lititz | Lititz | $2,441.40 | $240.97 – $1,980.57 |
| UPMC Magee | Pittsburgh | $4,761.00 | $361.85 – $2,036.11 |
| UPMC Memorial | York | $2,441.40 | $240.97 – $2,033.17 |