Bronchoscopy w/fb removal 31635 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,431.60
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.
$2,386.00
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.
$193.76 with UPMC Health Plan vs $3,528.40 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $193.76 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $202.57 | ↓ -86% |
| Aetna | Medicaid | $211.38 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $244.83 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $261.23 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $265.63 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $274.99 | ↓ -81% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $300.19 | ↓ -79% |
| Univera | Univera_Medicare_Hamot_2024 | $357.90 | ↓ -75% |
| Aetna | Commercial | $596.50 | ↓ -58% |
| Cigna | NBR ASO/FI | $715.80 | ↓ -50% |
| Cigna | New Business ASO | $715.80 | ↓ -50% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $729.80 | ↓ -49% |
| Univera | Commercial | $787.38 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $885.01 | ↓ -38% |
| Cigna | EBR | $954.40 | ↓ -33% |
| Cigna | Commercial | $954.40 | ↓ -33% |
| United Healthcare | Commercial | $1,535.00 | ↑ +7% |
| InterGroup | Health Coalition Partners/PPO | $1,550.90 | ↑ +8% |
| Aetna | AXA/MMO | $1,670.20 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,670.20 | ↑ +17% |
| Fidelis | Medicare | $1,897.47 | ↑ +33% |
| InterGroup | Beech Street | $1,908.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,908.80 | ↑ +33% |
| Aetna | Medicare | $1,935.42 | ↑ +35% |
| UPMC Health Plan | Partners/Select | $1,936.94 | ↑ +35% |
| Wellcare | Medicare Advantage | $1,954.39 | ↑ +37% |
| BCBS of Western NY | Medicare Advantage | $1,992.34 | ↑ +39% |
| United Healthcare | Medicare | $2,030.29 | ↑ +42% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,049.08 | ↑ +43% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,049.27 | ↑ +43% |
| Cigna | Medicare | $2,049.27 | ↑ +43% |
| AmeriHealth Caritas | Medicare | $2,049.27 | ↑ +43% |
| BCBS of Western NY | Commercial | $2,177.52 | ↑ +52% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,205.27 | ↑ +54% |
| Independent Health | Medicare Advantage | $2,391.19 | ↑ +67% |
| Independent Health | Commercial | $2,735.29 | ↑ +91% |
| UPMC Health Plan | Commercial | $2,874.83 | ↑ +101% |
| Highmark BCBS of PA | UPMC Emergent | $3,528.40 | ↑ +146% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy w/fb removal 31635 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,037.40 | $176.15 – $1,383.20 |
| UPMC Community Osteopathic | Harrisburg | $3,848.40 | $237.80 – $5,451.90 |
| UPMC Hanover | Hanover | $3,848.40 | $223.71 – $2,635.82 |
| UPMC Memorial | York | $3,848.40 | $223.71 – $2,645.74 |
| UPMC Mercy | Pittsburgh | $3,279.00 | $193.76 – $1,808.49 |
| UPMC Passavant-McCandless | Pittsburgh | $3,828.00 | $193.76 – $1,808.49 |
| UPMC Presbyterian | Pittsburgh | $4,545.60 | $193.76 – $1,808.49 |
| UPMC Somerset | Somerset | $3,848.40 | $193.76 – $1,644.08 |