Clip ligating vesolock lg at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,608.20
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.
$4,347.00
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.
$90.45 with Univera vs $1,138.54 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 | $90.45 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $120.00 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $142.50 | ↓ -95% |
| Aetna | Commercial | $150.75 | ↓ -94% |
| Cigna | New Business ASO | $180.90 | ↓ -93% |
| Cigna | NBR ASO/FI | $180.90 | ↓ -93% |
| Univera | Commercial | $198.99 | ↓ -92% |
| BCBS of Western NY | Commercial | $211.05 | ↓ -92% |
| UPMC Health Plan | Commercial | $221.90 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $235.49 | ↓ -91% |
| Aetna | Medicare | $241.20 | ↓ -91% |
| Cigna | Commercial | $241.20 | ↓ -91% |
| Cigna | EBR | $241.20 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $247.50 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $247.50 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $253.72 | ↓ -90% |
| United Healthcare | Commercial | $274.06 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $301.50 | ↓ -88% |
| InterGroup | Health Coalition Partners/PPO | $391.95 | ↓ -85% |
| Aetna | AXA/MMO | $422.10 | ↓ -84% |
| Multiplan | PPO (Includes PHCS as a Payer) | $422.10 | ↓ -84% |
| InterGroup | Beech Street | $482.40 | ↓ -82% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $482.40 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $711.59 | ↓ -73% |
| Highmark BCBS of PA | UPMC Emergent | $1,138.54 | ↓ -56% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Clip ligating vesolock lg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,058.40 | $235.49 – $1,387.74 |
| UPMC Community Osteopathic | Harrisburg | $1,380.60 | $53.60 – $1,387.74 |
| UPMC East | Monroeville | $1,324.80 | $7.50 – $1,387.74 |
| UPMC Northwest | Seneca | $699.00 | $611.19 – $1,679.28 |
| UPMC Jameson | New Castle | $778.20 | $114.86 – $1,387.74 |
| UPMC Magee | Pittsburgh | $3,121.20 | $126.35 – $1,387.74 |
| UPMC McKeesport | Mckeesport | $1,151.40 | $126.35 – $1,387.74 |
| UPMC Memorial | York | $1,380.60 | $114.86 – $1,387.74 |