Cv line/pic reposition at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,029.00
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.
$1,715.00
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.
$63.95 with UPMC Health Plan vs $2,545.85 with Independent Health — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $63.95 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $66.86 | ↓ -94% |
| Aetna | Medicaid | $69.77 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $80.81 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $86.22 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $87.68 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $90.76 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $99.08 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $244.64 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $257.25 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $299.09 | ↓ -71% |
| Aetna | Commercial | $428.75 | ↓ -58% |
| BCBS of Western NY | Commercial | $494.99 | ↓ -52% |
| Cigna | New Business ASO | $514.50 | ↓ -50% |
| Cigna | NBR ASO/FI | $514.50 | ↓ -50% |
| Univera | Commercial | $565.95 | ↓ -45% |
| Cigna | EBR | $686.00 | ↓ -33% |
| Cigna | Commercial | $686.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $739.23 | ↓ -28% |
| InterGroup | Health Coalition Partners/PPO | $1,114.75 | ↑ +8% |
| United Healthcare | Commercial | $1,147.00 | ↑ +11% |
| Highmark BCBS of PA | UPMC Emergent | $1,182.75 | ↑ +15% |
| Aetna | AXA/MMO | $1,200.50 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,200.50 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,372.00 | ↑ +33% |
| InterGroup | Beech Street | $1,372.00 | ↑ +33% |
| Fidelis | Medicare | $1,709.28 | ↑ +66% |
| Aetna | Medicare | $1,743.47 | ↑ +69% |
| UPMC Health Plan | Partners/Select | $1,744.83 | ↑ +70% |
| Wellcare | Medicare Advantage | $1,760.56 | ↑ +71% |
| BCBS of Western NY | Medicare Advantage | $1,794.74 | ↑ +74% |
| United Healthcare | Medicare | $1,828.93 | ↑ +78% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,845.85 | ↑ +79% |
| Cigna | Medicare | $1,846.02 | ↑ +79% |
| AmeriHealth Caritas | Medicare | $1,846.02 | ↑ +79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,846.02 | ↑ +79% |
| UPMC Health Plan | Commercial | $1,873.86 | ↑ +82% |
| Independent Health | Medicare Advantage | $2,154.03 | ↑ +109% |
| Independent Health | Commercial | $2,545.85 | ↑ +147% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cv line/pic reposition at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $915.60 | $58.14 – $1,220.80 |
| UPMC Carlisle | Carlisle | $2,472.00 | $73.84 – $3,502.00 |
| UPMC Community Osteopathic | Harrisburg | $2,472.00 | $73.84 – $3,502.00 |
| UPMC East | Monroeville | $975.60 | $63.95 – $1,555.07 |
| UPMC Northwest | Seneca | $1,591.20 | $63.95 – $1,555.07 |
| UPMC Hanover | Hanover | $2,472.00 | $73.84 – $2,374.40 |
| UPMC Horizon-Greenville | Greenville | $1,515.00 | $63.95 – $1,599.50 |
| UPMC Jameson | New Castle | $1,065.60 | $63.95 – $1,999.38 |