Drng of eyelid abscess 67700 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$5,268.60
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.
?
What you pay up front if you don't use insurance.
$8,781.00
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.
$173.94 with UPMC Work Partners vs $7,024.80 with Multiplan — 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 Work Partners | Workers Comp | $173.94 | ↓ -97% |
| Fidelis | Medicare | $328.92 | ↓ -94% |
| Aetna | Medicare | $335.50 | ↓ -94% |
| UPMC Health Plan | Partners/Select | $335.76 | ↓ -94% |
| Wellcare | Medicare Advantage | $338.79 | ↓ -94% |
| United Healthcare | Commercial | $340.00 | ↓ -94% |
| BCBS of Western NY | Medicare Advantage | $345.37 | ↓ -93% |
| United Healthcare | Medicare | $351.94 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $355.20 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $355.23 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $355.23 | ↓ -93% |
| Cigna | Medicare | $355.23 | ↓ -93% |
| Independent Health | Medicare Advantage | $414.50 | ↓ -92% |
| Independent Health | Commercial | $452.94 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,232.68 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $1,317.15 | ↓ -75% |
| Aetna | Commercial | $2,195.25 | ↓ -58% |
| Cigna | NBR ASO/FI | $2,634.30 | ↓ -50% |
| Cigna | New Business ASO | $2,634.30 | ↓ -50% |
| Univera | Commercial | $2,897.73 | ↓ -45% |
| Cigna | Commercial | $3,512.40 | ↓ -33% |
| Cigna | EBR | $3,512.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $3,724.84 | ↓ -29% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,829.55 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $4,829.55 | ↓ -8% |
| UPMC Health Plan | Commercial | $4,849.16 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $5,707.65 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $5,959.69 | ↑ +13% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,146.70 | ↑ +17% |
| Aetna | AXA/MMO | $6,146.70 | ↑ +17% |
| BCBS of Western NY | Commercial | $6,879.78 | ↑ +31% |
| InterGroup | Beech Street | $7,024.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $7,024.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Drng of eyelid abscess 67700 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $770.40 | $157.28 – $1,091.40 |
| UPMC Community Osteopathic | Harrisburg | $770.40 | $174.91 – $3,905.78 |
| UPMC East | Monroeville | $5,161.80 | $173.94 – $6,882.40 |
| UPMC Hanover | Hanover | $770.40 | $174.91 – $3,905.78 |
| UPMC Horizon-Greenville | Greenville | $4,148.40 | $167.13 – $534.78 |
| UPMC Jameson | New Castle | $1,363.20 | $167.13 – $1,254.43 |
| UPMC Lititz | Lititz | $770.40 | $172.95 – $3,905.78 |
| UPMC Magee | Pittsburgh | $5,098.20 | $173.94 – $1,244.42 |