Coveredge 32 lead kit 40cm 48 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$526.20
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.
$877.00
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.
$20.25 with Univera vs $2,052.41 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $20.25 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.60 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $25.65 | ↓ -95% |
| Aetna | Commercial | $33.75 | ↓ -94% |
| Cigna | New Business ASO | $40.50 | ↓ -92% |
| Cigna | NBR ASO/FI | $40.50 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $44.55 | ↓ -92% |
| Univera | Commercial | $44.55 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $44.55 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $45.67 | ↓ -91% |
| BCBS of Western NY | Commercial | $47.25 | ↓ -91% |
| UPMC Health Plan | Commercial | $49.68 | ↓ -91% |
| Cigna | EBR | $54.00 | ↓ -90% |
| Cigna | Commercial | $54.00 | ↓ -90% |
| Aetna | Medicare | $54.00 | ↓ -90% |
| United Healthcare | Commercial | $61.36 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $67.50 | ↓ -87% |
| InterGroup | Health Coalition Partners/PPO | $87.75 | ↓ -83% |
| Aetna | AXA/MMO | $94.50 | ↓ -82% |
| Multiplan | PPO (Includes PHCS as a Payer) | $94.50 | ↓ -82% |
| InterGroup | Beech Street | $108.00 | ↓ -79% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $108.00 | ↓ -79% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $424.51 | ↓ -19% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,282.76 | ↑ +144% |
| Highmark BCBS of PA | UPMC Emergent | $2,052.41 | ↑ +290% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Coveredge 32 lead kit 40cm 48 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,909.80 | $27.74 – $3,567.09 |
| UPMC Bedford | Everett | $526.20 | $25.65 – $3,567.09 |
| UPMC Cole | Coudersport | $19,597.20 | $3,567.09 – $26,129.60 |
| UPMC Community Osteopathic | Harrisburg | $4,535.40 | $1,511.80 – $6,425.15 |
| UPMC East | Monroeville | $6,440.40 | $428.56 – $3,567.09 |
| UPMC Northwest | Seneca | $3,053.40 | $1,101.77 – $4,316.49 |
| UPMC Horizon-Greenville | Greenville | $4,086.60 | $1,081.90 – $3,567.09 |
| UPMC Jameson | New Castle | $3,649.20 | $432.00 – $3,567.09 |