Cath ablt clsfast 7fx100cmx at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,861.20
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.
$3,102.00
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.
$272.10 with Univera vs $3,106.11 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 | $272.10 | ↓ -85% |
| Aetna | Commercial | $453.50 | ↓ -76% |
| Cigna | NBR ASO/FI | $544.20 | ↓ -71% |
| Cigna | New Business ASO | $544.20 | ↓ -71% |
| Univera | Commercial | $598.62 | ↓ -68% |
| BCBS of Western NY | Commercial | $634.90 | ↓ -66% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $642.46 | ↓ -65% |
| UPMC Health Plan | Commercial | $667.55 | ↓ -64% |
| Cigna | EBR | $725.60 | ↓ -61% |
| Cigna | Commercial | $725.60 | ↓ -61% |
| Aetna | Medicare | $725.60 | ↓ -61% |
| United Healthcare | Commercial | $824.46 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicare | $907.00 | ↓ -51% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $997.70 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $997.70 | ↓ -46% |
| InterGroup | Health Coalition Partners/PPO | $1,179.10 | ↓ -37% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,269.80 | ↓ -32% |
| Aetna | AXA/MMO | $1,269.80 | ↓ -32% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,451.20 | ↓ -22% |
| InterGroup | Beech Street | $1,451.20 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,941.33 | ↑ +4% |
| Highmark BCBS of PA | UPMC Emergent | $3,106.11 | ↑ +67% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath ablt clsfast 7fx100cmx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,759.80 | $642.46 – $4,098.86 |
| UPMC Community Osteopathic | Harrisburg | $2,271.00 | $757.00 – $4,098.86 |
| UPMC Northwest | Seneca | $1,363.20 | $1,667.42 – $4,959.99 |
| UPMC Horizon-Greenville | Greenville | $1,048.20 | $1,637.35 – $4,098.86 |
| UPMC Jameson | New Castle | $2,513.40 | $653.79 – $4,098.86 |
| UPMC Magee | Pittsburgh | $5,112.00 | $648.57 – $4,098.86 |
| UPMC McKeesport | Mckeesport | $8,284.20 | $648.57 – $4,098.86 |
| UPMC Memorial | York | $2,271.00 | $523.63 – $4,098.86 |