Bln 1.2 mono emrg 15x1.2 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$8,967.60
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.
$14,946.00
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.
$25.95 with Univera vs $1,645.66 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $25.95 | ↓ -100% |
| Aetna | Commercial | $43.25 | ↓ -100% |
| Cigna | NBR ASO/FI | $51.90 | ↓ -99% |
| Cigna | New Business ASO | $51.90 | ↓ -99% |
| Univera | Commercial | $57.09 | ↓ -99% |
| BCBS of Western NY | Commercial | $60.55 | ↓ -99% |
| UPMC Health Plan | Commercial | $63.66 | ↓ -99% |
| Cigna | Commercial | $69.20 | ↓ -99% |
| Aetna | Medicare | $69.20 | ↓ -99% |
| Cigna | EBR | $69.20 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $70.24 | ↓ -99% |
| United Healthcare | Commercial | $78.63 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $83.41 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $86.50 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $95.15 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $95.15 | ↓ -99% |
| InterGroup | Health Coalition Partners/PPO | $112.45 | ↓ -99% |
| Aetna | AXA/MMO | $121.10 | ↓ -99% |
| Multiplan | PPO (Includes PHCS as a Payer) | $121.10 | ↓ -99% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $138.40 | ↓ -98% |
| InterGroup | Beech Street | $138.40 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $148.51 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $340.38 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,028.55 | ↓ -89% |
| Highmark BCBS of PA | UPMC Emergent | $1,645.66 | ↓ -82% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Bln 1.2 mono emrg 15x1.2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,284.00 | $75.62 – $1,274.39 |
| UPMC Bedford | Everett | $838.80 | $170.50 – $1,274.39 |
| UPMC Community Osteopathic | Harrisburg | $6,126.60 | $56.20 – $1,791.70 |
| UPMC East | Monroeville | $7,396.20 | $55.75 – $1,274.39 |
| UPMC Northwest | Seneca | $3,042.60 | $883.43 – $1,542.13 |
| UPMC Horizon-Greenville | Greenville | $1,014.60 | $867.49 – $1,274.39 |
| UPMC Jameson | New Castle | $6,210.00 | $99.47 – $1,274.39 |
| UPMC Magee | Pittsburgh | $6,582.60 | $109.42 – $1,274.39 |