Bx breast add lesion strtctc at UPMC Hamot

201 State Street, Erie, PA · UPMC · · NPI 1487647590

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$7,023.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$11,706.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$77.42 with UPMC Health Plan vs $9,364.80 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 →

Payer
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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
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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 $77.42 ↓ -99%
United Healthcare Community Plan for Families PA CHIP/PA Medicaid $80.94 ↓ -99%
Aetna Medicaid $84.46 ↓ -99%
Geisinger Medicaid/CHIP $97.82 ↓ -99%
Highmark Wholecare (prev Gateway) Medicaid $104.37 ↓ -99%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $106.13 ↓ -98%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $109.87 ↓ -98%
PA Health & Wellness Community Health Choices/PA Medicaid HMO $119.94 ↓ -98%
United Healthcare Commercial $340.00 ↓ -95%
Highmark BCBS of PA Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage $378.58 ↓ -95%
UPMC Work Partners Workers Comp $721.00 ↓ -90%
UPMC Health Plan Commercial $967.04 ↓ -86%
Highmark BCBS of PA Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission $1,143.97 ↓ -84%
Univera Univera_Medicare_Hamot_2024 $1,755.90 ↓ -75%
Highmark BCBS of PA UPMC Emergent $1,830.34 ↓ -74%
BCBS of Western NY Commercial $2,177.52 ↓ -69%
Aetna Commercial $2,926.50 ↓ -58%
Cigna NBR ASO/FI $3,511.80 ↓ -50%
Cigna New Business ASO $3,511.80 ↓ -50%
Univera Commercial $3,862.98 ↓ -45%
Cigna EBR $4,682.40 ↓ -33%
Cigna Commercial $4,682.40 ↓ -33%
Aetna Medicare $4,682.40 ↓ -33%
Highmark Wholecare (prev Gateway) Medicare $5,853.00 ↓ -17%
InterGroup Health Coalition Partners/PPO $7,608.90 ↑ +8%
Aetna AXA/MMO $8,194.20 ↑ +17%
Multiplan PPO (Includes PHCS as a Payer) $8,194.20 ↑ +17%
InterGroup Beech Street $9,364.80 ↑ +33%
Multiplan Complimentary Network Rate (Includes Multiplan as Payer) $9,364.80 ↑ +33%

Visitor-reported prices

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Bx breast add lesion strtctc at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $2,923.20 $70.38 – $3,897.60
UPMC Carlisle Carlisle $1,135.20 $89.38 – $9,539.00
UPMC Cole Coudersport $337.80 $73.90 – $1,041.88
UPMC Community Osteopathic Harrisburg $1,135.20 $92.20 – $1,608.20
UPMC Northwest Seneca $5,112.00 $77.42 – $982.57
UPMC Hanover Hanover $1,135.20 $89.38 – $754.53
UPMC Horizon-Greenville Greenville $4,273.80 $73.90 – $736.51
UPMC Jameson New Castle $3,612.00 $72.00 – $721.00

All Pennsylvania hospitals for this procedure →