Cath hawkone s directional at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$6,731.40
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.
$11,219.00
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.
$431.99 with Highmark BCBS of PA vs $8,975.20 with InterGroup — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $431.99 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,305.34 | ↓ -81% |
| Univera | Univera_Medicare_Hamot_2024 | $1,682.85 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $2,088.53 | ↓ -69% |
| Aetna | Commercial | $2,804.75 | ↓ -58% |
| Cigna | NBR ASO/FI | $3,365.70 | ↓ -50% |
| Cigna | New Business ASO | $3,365.70 | ↓ -50% |
| Univera | Commercial | $3,702.27 | ↓ -45% |
| BCBS of Western NY | Commercial | $3,926.65 | ↓ -42% |
| UPMC Health Plan | Commercial | $4,128.59 | ↓ -39% |
| Cigna | EBR | $4,487.60 | ↓ -33% |
| Aetna | Medicare | $4,487.60 | ↓ -33% |
| Cigna | Commercial | $4,487.60 | ↓ -33% |
| United Healthcare | Commercial | $5,099.04 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,609.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,170.45 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $6,170.45 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $7,292.35 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $7,853.30 | ↑ +17% |
| Aetna | AXA/MMO | $7,853.30 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $8,975.20 | ↑ +33% |
| InterGroup | Beech Street | $8,975.20 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath hawkone s directional at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,386.80 | $431.99 – $15,182.40 |
| UPMC Community Osteopathic | Harrisburg | $7,639.20 | $1,395.80 – $7,653.02 |
| UPMC East | Monroeville | $6,286.80 | $436.10 – $7,653.02 |
| UPMC Northwest | Seneca | $7,936.80 | $1,121.17 – $9,260.83 |
| UPMC Jameson | New Castle | $11,068.80 | $389.94 – $7,653.02 |
| UPMC Memorial | York | $7,639.20 | $352.09 – $7,653.02 |
| UPMC Mercy | Pittsburgh | $7,680.60 | $431.99 – $6,043.15 |
| UPMC Passavant-McCandless | Pittsburgh | $5,620.20 | $436.10 – $11,105.48 |