Colonoscopy stoma w/snare 44394 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,193.20
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.
$5,322.00
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.
$545.04 with Highmark BCBS of PA vs $4,257.60 with InterGroup — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $545.04 | ↓ -83% |
| Univera | Univera_Medicare_Hamot_2024 | $798.30 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $1,175.96 | ↓ -63% |
| Fidelis | Medicare | $1,297.37 | ↓ -59% |
| Aetna | Medicare | $1,323.32 | ↓ -59% |
| UPMC Health Plan | Partners/Select | $1,324.36 | ↓ -59% |
| Aetna | Commercial | $1,330.50 | ↓ -58% |
| Wellcare | Medicare Advantage | $1,336.29 | ↓ -58% |
| BCBS of Western NY | Medicare Advantage | $1,362.24 | ↓ -57% |
| United Healthcare | Medicare | $1,388.19 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,401.03 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,401.16 | ↓ -56% |
| AmeriHealth Caritas | Medicare | $1,401.16 | ↓ -56% |
| Cigna | Medicare | $1,401.16 | ↓ -56% |
| United Healthcare | Commercial | $1,535.00 | ↓ -52% |
| BCBS of Western NY | Commercial | $1,572.66 | ↓ -51% |
| Cigna | NBR ASO/FI | $1,596.60 | ↓ -50% |
| Cigna | New Business ASO | $1,596.60 | ↓ -50% |
| Independent Health | Medicare Advantage | $1,634.95 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,646.96 | ↓ -48% |
| Univera | Commercial | $1,756.26 | ↓ -45% |
| Independent Health | Commercial | $1,852.97 | ↓ -42% |
| UPMC Health Plan | Commercial | $2,127.57 | ↓ -33% |
| Cigna | EBR | $2,128.80 | ↓ -33% |
| Cigna | Commercial | $2,128.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $2,635.11 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,927.10 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $2,927.10 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $3,459.30 | ↑ +8% |
| Aetna | AXA/MMO | $3,725.40 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,725.40 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,257.60 | ↑ +33% |
| InterGroup | Beech Street | $4,257.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy stoma w/snare 44394 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,378.00 | $545.04 – $4,504.00 |
| UPMC Bedford | Everett | $3,576.60 | $405.58 – $5,364.90 |
| UPMC Cole | Coudersport | $722.40 | $333.75 – $1,144.47 |
| UPMC East | Monroeville | $2,420.40 | $550.23 – $3,227.20 |
| UPMC Northwest | Seneca | $3,373.80 | $809.52 – $1,214.04 |
| UPMC Jameson | New Castle | $1,798.20 | $554.65 – $1,517.55 |
| UPMC Magee | Pittsburgh | $4,047.00 | $550.23 – $1,236.52 |
| UPMC Mercy | Pittsburgh | $2,449.80 | $444.00 – $1,236.52 |