#cf-97variants at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,409.20
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.
$5,682.00
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.
$182.55 with Univera vs $3,708.67 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 | $182.55 | ↓ -95% |
| Aetna | Commercial | $304.25 | ↓ -91% |
| Cigna | NBR ASO/FI | $365.10 | ↓ -89% |
| Cigna | New Business ASO | $365.10 | ↓ -89% |
| Univera | Commercial | $401.61 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $445.28 | ↓ -87% |
| UPMC Health Plan | Commercial | $463.64 | ↓ -86% |
| Cigna | Commercial | $486.80 | ↓ -86% |
| Cigna | EBR | $486.80 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $489.81 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $512.07 | ↓ -85% |
| Aetna | Medicaid | $534.34 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $550.10 | ↓ -84% |
| Fidelis | Medicare | $556.60 | ↓ -84% |
| United Healthcare | Commercial | $556.60 | ↓ -84% |
| Aetna | Medicare | $567.73 | ↓ -83% |
| UPMC Health Plan | Partners/Select | $568.18 | ↓ -83% |
| Wellcare | Medicare Advantage | $573.30 | ↓ -83% |
| Independent Health | Commercial | $573.30 | ↓ -83% |
| Independent Health | Medicare Advantage | $573.30 | ↓ -83% |
| BCBS of Western NY | Medicare Advantage | $584.43 | ↓ -83% |
| United Healthcare | Medicare | $595.56 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $601.07 | ↓ -82% |
| Cigna | Medicare | $601.13 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $601.13 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $601.13 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $618.89 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $660.35 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $695.13 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $758.85 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $767.09 | ↓ -77% |
| InterGroup | Health Coalition Partners/PPO | $791.05 | ↓ -77% |
| Aetna | AXA/MMO | $851.90 | ↓ -75% |
| Multiplan | PPO (Includes PHCS as a Payer) | $851.90 | ↓ -75% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $973.60 | ↓ -71% |
| InterGroup | Beech Street | $973.60 | ↓ -71% |
| BCBS of Western NY | Commercial | $1,173.12 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,317.94 | ↓ -32% |
| Highmark BCBS of PA | UPMC Emergent | $3,708.67 | ↑ +9% |
Visitor-reported prices
Comments
#cf-97variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,325.80 | $445.28 – $964.00 |
| UPMC Bedford | Everett | $3,357.60 | $200.82 – $1,095.30 |
| UPMC Carlisle | Carlisle | $3,216.00 | $445.28 – $4,556.00 |
| UPMC Cole | Coudersport | $1,763.40 | $53.00 – $2,351.20 |
| UPMC Community Osteopathic | Harrisburg | $3,216.00 | $445.28 – $4,556.00 |
| UPMC East | Monroeville | $3,357.60 | $255.41 – $973.60 |
| UPMC Northwest | Seneca | $3,357.60 | $257.79 – $601.13 |
| UPMC Hanover | Hanover | $3,216.00 | $445.28 – $890.56 |