Cdna analysis for variants at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,339.20
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.
?
What you pay up front if you don't use insurance.
$7,232.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$58.95 with Univera vs $2,216.86 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $58.95 | ↓ -99% |
| Aetna | Commercial | $98.25 | ↓ -98% |
| Cigna | New Business ASO | $117.90 | ↓ -97% |
| Cigna | NBR ASO/FI | $117.90 | ↓ -97% |
| Univera | Commercial | $129.69 | ↓ -97% |
| Cigna | EBR | $157.20 | ↓ -96% |
| Cigna | Commercial | $157.20 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $183.04 | ↓ -96% |
| Fidelis | Medicare | $185.20 | ↓ -96% |
| United Healthcare | Commercial | $185.20 | ↓ -96% |
| Aetna | Medicare | $188.90 | ↓ -96% |
| UPMC Health Plan | Partners/Select | $189.05 | ↓ -96% |
| Wellcare | Medicare Advantage | $190.76 | ↓ -96% |
| Independent Health | Commercial | $190.76 | ↓ -96% |
| Independent Health | Medicare Advantage | $190.76 | ↓ -96% |
| BCBS of Western NY | Medicare Advantage | $194.46 | ↓ -96% |
| United Healthcare | Medicare | $198.16 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $200.00 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $200.02 | ↓ -95% |
| Cigna | Medicare | $200.02 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $200.02 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $216.15 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $216.15 | ↓ -95% |
| InterGroup | Health Coalition Partners/PPO | $255.45 | ↓ -94% |
| Aetna | AXA/MMO | $275.10 | ↓ -94% |
| Multiplan | PPO (Includes PHCS as a Payer) | $275.10 | ↓ -94% |
| InterGroup | Beech Street | $314.40 | ↓ -93% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $314.40 | ↓ -93% |
| BCBS of Western NY | Commercial | $390.34 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $458.53 | ↓ -89% |
| UPMC Health Plan | Commercial | $488.39 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,385.55 | ↓ -68% |
| Highmark BCBS of PA | UPMC Emergent | $2,216.86 | ↓ -49% |
Visitor-reported prices
Comments
Cdna analysis for variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,277.60 | $183.04 – $736.00 |
| UPMC Bedford | Everett | $2,343.60 | $66.82 – $1,841.40 |
| UPMC Carlisle | Carlisle | $1,070.40 | $101.86 – $1,516.40 |
| UPMC Cole | Coudersport | $1,117.20 | $53.00 – $1,489.60 |
| UPMC Community Osteopathic | Harrisburg | $1,070.40 | $147.99 – $1,516.40 |
| UPMC East | Monroeville | $1,916.40 | $183.04 – $814.40 |
| UPMC Hanover | Hanover | $1,070.40 | $147.99 – $978.04 |
| UPMC Horizon-Greenville | Greenville | $2,882.40 | $165.81 – $347.53 |