CT guidance for needle placement at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,166.40
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.
$1,944.00
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.
$174.66 with UPMC Health Plan vs $2,023.47 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $174.66 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $182.60 | ↓ -84% |
| Aetna | Medicaid | $190.54 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $220.69 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $235.47 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $239.44 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $247.87 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $270.59 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $291.60 | ↓ -75% |
| BCBS of Western NY | Commercial | $319.91 | ↓ -73% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $418.53 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $468.73 | ↓ -60% |
| Aetna | Commercial | $486.00 | ↓ -58% |
| Cigna | NBR ASO/FI | $583.20 | ↓ -50% |
| Cigna | New Business ASO | $583.20 | ↓ -50% |
| Univera | Commercial | $641.52 | ↓ -45% |
| UPMC Health Plan | Commercial | $681.99 | ↓ -42% |
| United Healthcare | Commercial | $693.00 | ↓ -41% |
| Cigna | Commercial | $777.60 | ↓ -33% |
| Aetna | Medicare | $777.60 | ↓ -33% |
| Cigna | EBR | $777.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $972.00 | ↓ -17% |
| InterGroup | Health Coalition Partners/PPO | $1,263.60 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,264.68 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,360.80 | ↑ +17% |
| Aetna | AXA/MMO | $1,360.80 | ↑ +17% |
| InterGroup | Beech Street | $1,555.20 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,555.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $2,023.47 | ↑ +73% |
Visitor-reported prices
Comments
CT guidance for needle placement at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,565.40 | $102.25 – $2,087.20 |
| UPMC Carlisle | Carlisle | $914.40 | $133.95 – $1,295.40 |
| UPMC Cole | Coudersport | $979.20 | $146.14 – $1,305.60 |
| UPMC Community Osteopathic | Harrisburg | $914.40 | $49.60 – $1,840.10 |
| UPMC East | Monroeville | $2,392.20 | $174.66 – $3,189.60 |
| UPMC Northwest | Seneca | $1,516.20 | $174.66 – $1,086.24 |
| UPMC Hanover | Hanover | $914.40 | $133.95 – $490.53 |
| UPMC Horizon-Greenville | Greenville | $2,352.60 | $166.72 – $814.22 |