Cutter lead at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,259.00
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.
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What you pay up front if you don't use insurance.
$3,765.00
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.
$35.85 with Univera vs $1,455.86 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 | $35.85 | ↓ -98% |
| Aetna | Commercial | $59.75 | ↓ -97% |
| Cigna | New Business ASO | $71.70 | ↓ -97% |
| Cigna | NBR ASO/FI | $71.70 | ↓ -97% |
| Univera | Commercial | $78.87 | ↓ -97% |
| BCBS of Western NY | Commercial | $83.65 | ↓ -96% |
| UPMC Health Plan | Commercial | $87.95 | ↓ -96% |
| Cigna | Commercial | $95.60 | ↓ -96% |
| Cigna | EBR | $95.60 | ↓ -96% |
| Aetna | Medicare | $95.60 | ↓ -96% |
| United Healthcare | Commercial | $108.63 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $119.50 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $131.45 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $131.45 | ↓ -94% |
| InterGroup | Health Coalition Partners/PPO | $155.35 | ↓ -93% |
| Multiplan | PPO (Includes PHCS as a Payer) | $167.30 | ↓ -93% |
| Aetna | AXA/MMO | $167.30 | ↓ -93% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $191.20 | ↓ -92% |
| InterGroup | Beech Street | $191.20 | ↓ -92% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $301.13 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $583.04 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $692.36 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $909.92 | ↓ -60% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,232.77 | ↓ -45% |
| Highmark BCBS of PA | UPMC Emergent | $1,455.86 | ↓ -36% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cutter lead at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,585.80 | $88.00 – $1,087.91 |
| UPMC Cole | Coudersport | $621.00 | $196.65 – $828.00 |
| UPMC Community Osteopathic | Harrisburg | $1,505.40 | $250.60 – $1,585.06 |
| UPMC East | Monroeville | $2,460.60 | $186.50 – $1,087.91 |
| UPMC Northwest | Seneca | $1,829.40 | $781.54 – $1,316.47 |
| UPMC Horizon-Greenville | Greenville | $814.20 | $767.44 – $1,087.91 |
| UPMC Jameson | New Castle | $1,444.80 | $70.00 – $1,087.91 |
| UPMC Magee | Pittsburgh | $2,784.60 | $77.00 – $1,087.91 |