C motor evoked upr&lwr limbs at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$854.40
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.
$1,424.00
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.
$213.60 with Univera vs $1,959.39 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $213.60 | ↓ -75% |
| Aetna | Commercial | $356.00 | ↓ -58% |
| UPMC Health Plan | Managed Medicaid | $378.73 | ↓ -56% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $395.94 | ↓ -54% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $405.27 | ↓ -53% |
| Aetna | Medicaid | $413.16 | ↓ -52% |
| Cigna | NBR ASO/FI | $427.20 | ↓ -50% |
| Cigna | New Business ASO | $427.20 | ↓ -50% |
| UPMC Health Plan | Commercial | $452.77 | ↓ -47% |
| Univera | Commercial | $469.92 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $478.54 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicaid | $510.60 | ↓ -40% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $519.20 | ↓ -39% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $537.49 | ↓ -37% |
| Cigna | EBR | $569.60 | ↓ -33% |
| Cigna | Commercial | $569.60 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $586.76 | ↓ -31% |
| UPMC Work Partners | Workers Comp | $634.53 | ↓ -26% |
| United Healthcare | Commercial | $647.21 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $925.60 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $996.80 | ↑ +17% |
| Aetna | AXA/MMO | $996.80 | ↑ +17% |
| Fidelis | Medicare | $1,119.45 | ↑ +31% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,139.20 | ↑ +33% |
| InterGroup | Beech Street | $1,139.20 | ↑ +33% |
| Aetna | Medicare | $1,141.84 | ↑ +34% |
| UPMC Health Plan | Partners/Select | $1,142.73 | ↑ +34% |
| Wellcare | Medicare Advantage | $1,153.03 | ↑ +35% |
| BCBS of Western NY | Medicare Advantage | $1,175.42 | ↑ +38% |
| BCBS of Western NY | Commercial | $1,192.55 | ↑ +40% |
| United Healthcare | Medicare | $1,197.81 | ↑ +40% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,208.89 | ↑ +41% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,209.01 | ↑ +42% |
| AmeriHealth Caritas | Medicare | $1,209.01 | ↑ +42% |
| Cigna | Medicare | $1,209.01 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,224.63 | ↑ +43% |
| Independent Health | Medicare Advantage | $1,349.45 | ↑ +58% |
| Independent Health | Commercial | $1,797.19 | ↑ +110% |
| Highmark BCBS of PA | UPMC Emergent | $1,959.39 | ↑ +129% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
C motor evoked upr&lwr limbs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,816.40 | $254.56 – $3,755.20 |
| UPMC Carlisle | Carlisle | $2,029.20 | $319.00 – $2,874.70 |
| UPMC Community Osteopathic | Harrisburg | $2,029.20 | $333.47 – $2,874.70 |
| UPMC East | Monroeville | $2,453.40 | $378.73 – $3,271.20 |
| UPMC Northwest | Seneca | $2,663.40 | $378.73 – $1,018.46 |
| UPMC Hanover | Hanover | $2,029.20 | $319.00 – $1,555.06 |
| UPMC Lititz | Lititz | $2,029.20 | $319.00 – $1,563.46 |
| UPMC Magee | Pittsburgh | $2,479.80 | $378.73 – $1,047.56 |