Debridement/bone/20 sq cm or less 11046 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,602.60
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.
$2,671.00
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.
$80.89 with UPMC Work Partners vs $2,177.52 with BCBS of Western NY — 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 Work Partners | Workers Comp | $80.89 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $98.53 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $297.75 | ↓ -81% |
| United Healthcare | Commercial | $340.00 | ↓ -79% |
| Univera | Univera_Medicare_Hamot_2024 | $400.65 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $476.39 | ↓ -70% |
| UPMC Health Plan | Commercial | $550.44 | ↓ -66% |
| Aetna | Commercial | $667.75 | ↓ -58% |
| Cigna | NBR ASO/FI | $801.30 | ↓ -50% |
| Cigna | New Business ASO | $801.30 | ↓ -50% |
| Univera | Commercial | $881.43 | ↓ -45% |
| Cigna | Commercial | $1,068.40 | ↓ -33% |
| Aetna | Medicare | $1,068.40 | ↓ -33% |
| Cigna | EBR | $1,068.40 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,335.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,469.05 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,469.05 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $1,736.15 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,869.70 | ↑ +17% |
| Aetna | AXA/MMO | $1,869.70 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,136.80 | ↑ +33% |
| InterGroup | Beech Street | $2,136.80 | ↑ +33% |
| BCBS of Western NY | Commercial | $2,177.52 | ↑ +36% |
Visitor-reported prices
Comments
Debridement/bone/20 sq cm or less 11046 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $704.40 | $80.89 – $939.20 |
| UPMC Carlisle | Carlisle | $822.00 | $39.86 – $9,539.00 |
| UPMC Cole | Coudersport | $316.20 | $11.64 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $147.00 | $208.25 – $208.25 |
| UPMC Northwest | Seneca | $1,632.00 | $80.89 – $255.74 |
| UPMC Hanover | Hanover | $822.00 | $39.86 – $443.35 |
| UPMC Horizon-Greenville | Greenville | $811.20 | $80.89 – $240.50 |
| UPMC Jameson | New Castle | $765.60 | $34.99 – $443.35 |