Brachy source yttrium-90 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$54,249.60
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.
$90,416.00
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.
$8,667.29 with Highmark BCBS of PA vs $72,332.80 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $8,667.29 | ↓ -84% |
| Univera | Univera_Medicare_Hamot_2024 | $13,562.40 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14,466.56 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $17,179.04 | ↓ -68% |
| Fidelis | Medicare | $19,239.21 | ↓ -65% |
| Aetna | Medicare | $19,623.99 | ↓ -64% |
| UPMC Health Plan | Partners/Select | $19,639.39 | ↓ -64% |
| Wellcare | Medicare Advantage | $19,816.39 | ↓ -63% |
| BCBS of Western NY | Medicare Advantage | $20,201.17 | ↓ -63% |
| United Healthcare | Medicare | $20,585.95 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $20,776.42 | ↓ -62% |
| AmeriHealth Caritas | Medicare | $20,778.35 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20,778.35 | ↓ -62% |
| Cigna | Medicare | $20,778.35 | ↓ -62% |
| Aetna | Commercial | $22,604.00 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $26,190.24 | ↓ -52% |
| Cigna | New Business ASO | $27,124.80 | ↓ -50% |
| Cigna | NBR ASO/FI | $27,124.80 | ↓ -50% |
| Univera | Commercial | $29,837.28 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $29,837.28 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $29,837.28 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30,587.73 | ↓ -44% |
| BCBS of Western NY | Commercial | $31,645.60 | ↓ -42% |
| UPMC Health Plan | Commercial | $33,273.09 | ↓ -39% |
| Cigna | EBR | $36,166.40 | ↓ -33% |
| Cigna | Commercial | $36,166.40 | ↓ -33% |
| United Healthcare | Commercial | $41,094.07 | ↓ -24% |
| Highmark BCBS of PA | UPMC Emergent | $41,904.01 | ↓ -23% |
| InterGroup | Health Coalition Partners/PPO | $58,770.40 | ↑ +8% |
| Aetna | AXA/MMO | $63,291.20 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $63,291.20 | ↑ +17% |
| InterGroup | Beech Street | $72,332.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $72,332.80 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Brachy source yttrium-90 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $39,612.00 | $9,044.74 – $56,117.00 |
| UPMC Community Osteopathic | Harrisburg | $39,612.00 | $13,204.00 – $154,064.79 |
| UPMC Lititz | Lititz | $39,612.00 | $14,071.95 – $154,064.79 |
| UPMC Memorial | York | $39,612.00 | $7,064.20 – $154,064.79 |
| UPMC Passavant-McCandless | Pittsburgh | $34,334.40 | $8,749.82 – $18,336.93 |
| UPMC Presbyterian | Pittsburgh | $133,443.60 | $8,749.82 – $18,336.93 |
| UPMC Somerset | Somerset | $39,612.00 | $8,579.63 – $18,001.87 |
| UPMC Williamsport | Williamsport | $37,851.00 | $13,749.70 – $18,003.54 |