Destruction benign lesions < 14 lesions at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$714.00
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.
$1,190.00
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.
$53.90 with UPMC Health Plan vs $6,879.78 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 Health Plan | Managed Medicaid | $53.90 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $56.35 | ↓ -92% |
| Aetna | Medicaid | $58.80 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $68.11 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $72.67 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $73.89 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $76.49 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $83.51 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $84.13 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $130.12 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $178.50 | ↓ -75% |
| Fidelis | Medicare | $218.63 | ↓ -69% |
| Aetna | Medicare | $223.00 | ↓ -69% |
| UPMC Health Plan | Partners/Select | $223.18 | ↓ -69% |
| Wellcare | Medicare Advantage | $225.19 | ↓ -68% |
| BCBS of Western NY | Medicare Advantage | $229.56 | ↓ -68% |
| United Healthcare | Medicare | $233.93 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $236.10 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $236.12 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $236.12 | ↓ -67% |
| Cigna | Medicare | $236.12 | ↓ -67% |
| Independent Health | Medicare Advantage | $275.52 | ↓ -61% |
| Aetna | Commercial | $297.50 | ↓ -58% |
| Independent Health | Commercial | $309.00 | ↓ -57% |
| United Healthcare | Commercial | $340.00 | ↓ -52% |
| Cigna | New Business ASO | $357.00 | ↓ -50% |
| Cigna | NBR ASO/FI | $357.00 | ↓ -50% |
| Univera | Commercial | $392.70 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $393.18 | ↓ -45% |
| Cigna | Commercial | $476.00 | ↓ -33% |
| Cigna | EBR | $476.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $498.01 | ↓ -30% |
| Highmark BCBS of PA | UPMC Emergent | $629.08 | ↓ -12% |
| InterGroup | Health Coalition Partners/PPO | $773.50 | ↑ +8% |
| Aetna | AXA/MMO | $833.00 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $833.00 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $952.00 | ↑ +33% |
| InterGroup | Beech Street | $952.00 | ↑ +33% |
| BCBS of Western NY | Commercial | $6,879.78 | ↑ +864% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Destruction benign lesions < 14 lesions at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $52.20 | $43.50 – $130.12 |
| UPMC Cole | Coudersport | $112.20 | $24.12 – $2,325.85 |
| UPMC East | Monroeville | $718.80 | $53.90 – $958.40 |
| UPMC Horizon-Greenville | Greenville | $732.60 | $53.90 – $253.13 |
| UPMC Kane | Kane | $127.20 | $53.90 – $471.91 |
| UPMC Magee | Pittsburgh | $403.20 | $53.90 – $204.60 |
| UPMC McKeesport | Mckeesport | $583.80 | $53.90 – $208.38 |
| UPMC Mercy | Pittsburgh | $593.40 | $53.90 – $208.38 |