Cerv sr wire occ/man pre ots at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,200.60
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.
$2,001.00
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.
$189.71 with Highmark BCBS of PA vs $1,600.80 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 | $189.71 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $270.85 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $300.15 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $320.16 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $380.19 | ↓ -68% |
| Aetna | Commercial | $500.25 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $573.25 | ↓ -52% |
| Cigna | NBR ASO/FI | $600.30 | ↓ -50% |
| Cigna | New Business ASO | $600.30 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $660.33 | ↓ -45% |
| Univera | Commercial | $660.33 | ↓ -45% |
| BCBS of Western NY | Commercial | $700.35 | ↓ -42% |
| UPMC Health Plan | Commercial | $736.37 | ↓ -39% |
| Cigna | EBR | $800.40 | ↓ -33% |
| Aetna | Medicare | $800.40 | ↓ -33% |
| Cigna | Commercial | $800.40 | ↓ -33% |
| United Healthcare | Commercial | $909.45 | ↓ -24% |
| Highmark BCBS of PA | UPMC Emergent | $917.19 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,000.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,100.55 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $1,300.65 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,400.70 | ↑ +17% |
| Aetna | AXA/MMO | $1,400.70 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,600.80 | ↑ +33% |
| InterGroup | Beech Street | $1,600.80 | ↑ +33% |
Visitor-reported prices
Comments
Cerv sr wire occ/man pre ots at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $58.80 | $18.62 – $706.44 |
| UPMC Mercy | Pittsburgh | $223.80 | $189.71 – $557.84 |
| UPMC Passavant-McCandless | Pittsburgh | $223.20 | $191.52 – $1,025.13 |
| UPMC St. Margaret | Pittsburgh | $227.40 | $191.52 – $866.85 |