Drsg interceed 3x4in adh wnd barr absorb at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,423.40
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.
$4,039.00
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.
$131.03 with Highmark BCBS of PA vs $913.60 with InterGroup — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $131.03 | ↓ -95% |
| Univera | Univera_Medicare_Hamot_2024 | $171.30 | ↓ -93% |
| Aetna | Commercial | $285.50 | ↓ -88% |
| Cigna | New Business ASO | $342.60 | ↓ -86% |
| Cigna | NBR ASO/FI | $342.60 | ↓ -86% |
| Univera | Commercial | $376.86 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $395.93 | ↓ -84% |
| BCBS of Western NY | Commercial | $399.70 | ↓ -84% |
| UPMC Health Plan | Commercial | $420.26 | ↓ -83% |
| Cigna | EBR | $456.80 | ↓ -81% |
| Cigna | Commercial | $456.80 | ↓ -81% |
| Aetna | Medicare | $456.80 | ↓ -81% |
| United Healthcare | Commercial | $519.04 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $571.00 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $628.10 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $628.10 | ↓ -74% |
| Highmark BCBS of PA | UPMC Emergent | $633.48 | ↓ -74% |
| InterGroup | Health Coalition Partners/PPO | $742.30 | ↓ -69% |
| Aetna | AXA/MMO | $799.40 | ↓ -67% |
| Multiplan | PPO (Includes PHCS as a Payer) | $799.40 | ↓ -67% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $913.60 | ↓ -62% |
| InterGroup | Beech Street | $913.60 | ↓ -62% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Drsg interceed 3x4in adh wnd barr absorb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,401.80 | $131.03 – $395.53 |
| UPMC Bedford | Everett | $1,998.60 | $363.35 – $1,536.30 |
| UPMC Carlisle | Carlisle | $640.80 | $129.33 – $802.40 |
| UPMC Cole | Coudersport | $180.60 | $57.19 – $240.80 |
| UPMC Community Osteopathic | Harrisburg | $640.80 | $188.80 – $802.40 |
| UPMC East | Monroeville | $2,118.60 | $132.27 – $913.60 |
| UPMC Northwest | Seneca | $2,118.60 | $340.06 – $478.62 |
| UPMC Hanover | Hanover | $640.80 | $395.53 – $395.53 |