Cap trach decann 15mm at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,402.00
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.
$5,670.00
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.
$107.40 with Univera vs $1,626.07 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 | $107.40 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $114.56 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $136.04 | ↓ -96% |
| Aetna | Commercial | $179.00 | ↓ -95% |
| Cigna | New Business ASO | $214.80 | ↓ -94% |
| Cigna | NBR ASO/FI | $214.80 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $236.28 | ↓ -93% |
| Univera | Commercial | $236.28 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $236.28 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $242.22 | ↓ -93% |
| BCBS of Western NY | Commercial | $250.60 | ↓ -93% |
| UPMC Health Plan | Commercial | $263.49 | ↓ -92% |
| Cigna | EBR | $286.40 | ↓ -92% |
| Cigna | Commercial | $286.40 | ↓ -92% |
| Aetna | Medicare | $286.40 | ↓ -92% |
| United Healthcare | Commercial | $325.42 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $336.33 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $358.00 | ↓ -89% |
| InterGroup | Health Coalition Partners/PPO | $465.40 | ↓ -86% |
| Aetna | AXA/MMO | $501.20 | ↓ -85% |
| Multiplan | PPO (Includes PHCS as a Payer) | $501.20 | ↓ -85% |
| InterGroup | Beech Street | $572.80 | ↓ -83% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $572.80 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,016.30 | ↓ -70% |
| Highmark BCBS of PA | UPMC Emergent | $1,626.07 | ↓ -52% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cap trach decann 15mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,029.00 | $91.58 – $3,673.43 |
| UPMC Bedford | Everett | $405.00 | $128.25 – $3,673.43 |
| UPMC Community Osteopathic | Harrisburg | $1,737.00 | $51.80 – $3,673.43 |
| UPMC East | Monroeville | $1,444.80 | $136.04 – $3,673.43 |
| UPMC Northwest | Seneca | $1,444.80 | $872.91 – $4,445.18 |
| UPMC Horizon-Greenville | Greenville | $1,444.80 | $857.17 – $3,673.43 |
| UPMC Jameson | New Castle | $1,444.80 | $342.27 – $3,673.43 |
| UPMC Magee | Pittsburgh | $2,232.00 | $339.53 – $3,673.43 |