Bronch ebus samplng 1/2 node at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,967.60
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.
?
What you pay up front if you don't use insurance.
$4,946.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$208.90 with UPMC Health Plan vs $5,704.20 with Independent Health — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $208.90 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $218.40 | ↓ -93% |
| Aetna | Medicaid | $227.89 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $263.96 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $281.64 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $286.38 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $296.47 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $323.64 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $606.58 | ↓ -80% |
| Univera | Univera_Medicare_Hamot_2024 | $741.90 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $1,161.81 | ↓ -61% |
| Aetna | Commercial | $1,236.50 | ↓ -58% |
| Cigna | New Business ASO | $1,483.80 | ↓ -50% |
| Cigna | NBR ASO/FI | $1,483.80 | ↓ -50% |
| BCBS of Western NY | Commercial | $1,572.66 | ↓ -47% |
| Univera | Commercial | $1,632.18 | ↓ -45% |
| United Healthcare | Commercial | $1,754.00 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,832.93 | ↓ -38% |
| Cigna | EBR | $1,978.40 | ↓ -33% |
| Cigna | Commercial | $1,978.40 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $2,932.66 | ↓ -1% |
| InterGroup | Health Coalition Partners/PPO | $3,214.90 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,462.20 | ↑ +17% |
| Aetna | AXA/MMO | $3,462.20 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $3,956.80 | ↑ +33% |
| InterGroup | Beech Street | $3,956.80 | ↑ +33% |
| Fidelis | Medicare | $4,056.82 | ↑ +37% |
| Aetna | Medicare | $4,137.96 | ↑ +39% |
| UPMC Health Plan | Partners/Select | $4,141.20 | ↑ +40% |
| Wellcare | Medicare Advantage | $4,178.52 | ↑ +41% |
| BCBS of Western NY | Medicare Advantage | $4,259.66 | ↑ +44% |
| United Healthcare | Medicare | $4,340.80 | ↑ +46% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,380.96 | ↑ +48% |
| Cigna | Medicare | $4,381.37 | ↑ +48% |
| AmeriHealth Caritas | Medicare | $4,381.37 | ↑ +48% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4,381.37 | ↑ +48% |
| UPMC Health Plan | Commercial | $4,519.19 | ↑ +52% |
| Independent Health | Medicare Advantage | $5,112.40 | ↑ +72% |
| Independent Health | Commercial | $5,704.20 | ↑ +92% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bronch ebus samplng 1/2 node at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $777.60 | $189.91 – $1,161.81 |
| UPMC Community Osteopathic | Harrisburg | $4,452.00 | $256.38 – $6,307.00 |
| UPMC Hanover | Hanover | $4,452.00 | $241.19 – $5,635.42 |
| UPMC Jameson | New Castle | $2,221.20 | $208.90 – $4,745.33 |
| UPMC Memorial | York | $4,452.00 | $241.19 – $5,656.67 |
| UPMC Mercy | Pittsburgh | $2,260.20 | $208.90 – $3,866.57 |
| UPMC Passavant-McCandless | Pittsburgh | $2,354.40 | $208.90 – $3,866.57 |
| UPMC Presbyterian | Pittsburgh | $4,429.20 | $208.90 – $3,866.57 |