Cltx mndblr fx ntrdntl fixj at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,665.00
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.
$7,775.00
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.
$439.45 with UPMC Health Plan vs $9,136.69 with Independent Health — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $439.45 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $459.43 | ↓ -90% |
| Aetna | Medicaid | $479.40 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $555.27 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $592.46 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $602.45 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $623.66 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $680.83 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $836.96 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $1,107.84 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $1,166.25 | ↓ -75% |
| Aetna | Commercial | $1,943.75 | ↓ -58% |
| Cigna | NBR ASO/FI | $2,332.50 | ↓ -50% |
| Cigna | New Business ASO | $2,332.50 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,529.08 | ↓ -46% |
| Univera | Commercial | $2,565.75 | ↓ -45% |
| BCBS of Western NY | Commercial | $2,794.87 | ↓ -40% |
| United Healthcare | Commercial | $2,815.00 | ↓ -40% |
| Cigna | Commercial | $3,110.00 | ↓ -33% |
| Cigna | EBR | $3,110.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $3,294.98 | ↓ -29% |
| Highmark BCBS of PA | UPMC Emergent | $4,046.49 | ↓ -13% |
| InterGroup | Health Coalition Partners/PPO | $5,053.75 | ↑ +8% |
| Aetna | AXA/MMO | $5,442.50 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,442.50 | ↑ +17% |
| InterGroup | Beech Street | $6,220.00 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $6,220.00 | ↑ +33% |
| Fidelis | Medicare | $6,509.12 | ↑ +40% |
| Aetna | Medicare | $6,639.30 | ↑ +42% |
| UPMC Health Plan | Partners/Select | $6,644.51 | ↑ +42% |
| Wellcare | Medicare Advantage | $6,704.39 | ↑ +44% |
| BCBS of Western NY | Medicare Advantage | $6,834.58 | ↑ +47% |
| United Healthcare | Medicare | $6,964.76 | ↑ +49% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,029.20 | ↑ +51% |
| Cigna | Medicare | $7,029.85 | ↑ +51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7,029.85 | ↑ +51% |
| AmeriHealth Caritas | Medicare | $7,029.85 | ↑ +51% |
| Independent Health | Medicare Advantage | $8,202.79 | ↑ +76% |
| Independent Health | Commercial | $9,136.69 | ↑ +96% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cltx mndblr fx ntrdntl fixj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,339.20 | $419.48 – $1,785.60 |
| UPMC Presbyterian | Pittsburgh | $14,868.60 | $439.45 – $6,203.86 |
| UPMC Altoona | Altoona | not published | $399.50 – $6,091.06 |
| UPMC Mercy | Pittsburgh | not published | $439.45 – $6,203.86 |