C motor evoked lwr limbs at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$154.80
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.
$258.00
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.
$38.70 with Univera vs $960.16 with Independent Health — 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 | $38.70 | ↓ -75% |
| Aetna | Commercial | $64.50 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $70.10 | ↓ -55% |
| Cigna | NBR ASO/FI | $77.40 | ↓ -50% |
| Cigna | New Business ASO | $77.40 | ↓ -50% |
| Univera | Commercial | $85.14 | ↓ -45% |
| UPMC Health Plan | Commercial | $94.94 | ↓ -39% |
| Cigna | Commercial | $103.20 | ↓ -33% |
| Cigna | EBR | $103.20 | ↓ -33% |
| United Healthcare | Commercial | $117.26 | ↓ -24% |
| UPMC Health Plan | Managed Medicaid | $150.50 | ↓ -3% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $157.34 | ↑ +2% |
| Aetna | Medicaid | $164.18 | ↑ +6% |
| InterGroup | Health Coalition Partners/PPO | $167.70 | ↑ +8% |
| Aetna | AXA/MMO | $180.60 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $180.60 | ↑ +17% |
| Geisinger | Medicaid/CHIP | $190.17 | ↑ +23% |
| Highmark Wholecare (prev Gateway) | Medicaid | $202.90 | ↑ +31% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $206.32 | ↑ +33% |
| InterGroup | Beech Street | $206.40 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $206.40 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $211.81 | ↑ +37% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $213.59 | ↑ +38% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $233.17 | ↑ +51% |
| UPMC Work Partners | Workers Comp | $312.80 | ↑ +102% |
| Highmark BCBS of PA | UPMC Emergent | $338.89 | ↑ +119% |
| BCBS of Western NY | Commercial | $541.28 | ↑ +250% |
| Fidelis | Medicare | $583.83 | ↑ +277% |
| Aetna | Medicare | $595.51 | ↑ +285% |
| UPMC Health Plan | Partners/Select | $595.97 | ↑ +285% |
| Wellcare | Medicare Advantage | $601.34 | ↑ +288% |
| BCBS of Western NY | Medicare Advantage | $613.02 | ↑ +296% |
| United Healthcare | Medicare | $624.70 | ↑ +304% |
| Highmark Wholecare (prev Gateway) | Medicare | $630.48 | ↑ +307% |
| Cigna | Medicare | $630.54 | ↑ +307% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $630.54 | ↑ +307% |
| AmeriHealth Caritas | Medicare | $630.54 | ↑ +307% |
| Independent Health | Medicare Advantage | $720.95 | ↑ +366% |
| Independent Health | Commercial | $960.16 | ↑ +520% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
C motor evoked lwr limbs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $363.00 | $70.10 – $484.00 |
| UPMC Carlisle | Carlisle | $1,258.80 | $94.08 – $1,783.30 |
| UPMC Community Osteopathic | Harrisburg | $1,258.80 | $94.08 – $1,783.30 |
| UPMC East | Monroeville | $432.60 | $70.76 – $576.80 |
| UPMC Hanover | Hanover | $1,258.80 | $94.08 – $811.01 |
| UPMC Lititz | Lititz | $1,258.80 | $94.08 – $815.39 |
| UPMC Memorial | York | $1,258.80 | $57.13 – $814.06 |
| UPMC Mercy | Pittsburgh | $366.60 | $70.10 – $556.45 |