Eeg without vid 2-12 hr unmntr at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$615.00
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.
?
What you pay up front if you don't use insurance.
$1,025.00
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.
$88.00 with UPMC Health Plan vs $880.35 with Highmark BCBS of PA — 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 Health Plan | Managed Medicaid | $88.00 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $92.00 | ↓ -85% |
| Aetna | Medicaid | $96.00 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $111.19 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $118.64 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $120.64 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $124.89 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $136.34 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $153.75 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $182.09 | ↓ -70% |
| Aetna | Commercial | $256.25 | ↓ -58% |
| Cigna | New Business ASO | $307.50 | ↓ -50% |
| Cigna | NBR ASO/FI | $307.50 | ↓ -50% |
| Univera | Commercial | $338.25 | ↓ -45% |
| Fidelis | Medicare | $342.64 | ↓ -44% |
| Aetna | Medicare | $349.49 | ↓ -43% |
| UPMC Health Plan | Partners/Select | $349.77 | ↓ -43% |
| Wellcare | Medicare Advantage | $352.92 | ↓ -43% |
| BCBS of Western NY | Medicare Advantage | $359.77 | ↓ -42% |
| United Healthcare | Medicare | $366.62 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $370.02 | ↓ -40% |
| AmeriHealth Caritas | Medicare | $370.05 | ↓ -40% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $370.05 | ↓ -40% |
| Cigna | Medicare | $370.05 | ↓ -40% |
| Independent Health | Medicare Advantage | $375.76 | ↓ -39% |
| UPMC Health Plan | Commercial | $377.20 | ↓ -39% |
| Cigna | EBR | $410.00 | ↓ -33% |
| Cigna | Commercial | $410.00 | ↓ -33% |
| Independent Health | Commercial | $500.44 | ↓ -19% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $550.22 | ↓ -11% |
| BCBS of Western NY | Commercial | $575.59 | ↓ -6% |
| InterGroup | Health Coalition Partners/PPO | $666.25 | ↑ +8% |
| Aetna | AXA/MMO | $717.50 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $717.50 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $820.00 | ↑ +33% |
| InterGroup | Beech Street | $820.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $880.35 | ↑ +43% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Eeg without vid 2-12 hr unmntr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $555.00 | $80.00 – $740.00 |
| UPMC Cole | Coudersport | $1,123.20 | $84.00 – $1,497.60 |
| UPMC Northwest | Seneca | $586.20 | $88.00 – $311.72 |
| UPMC Magee | Pittsburgh | $553.80 | $88.00 – $320.63 |
| UPMC McKeesport | Mckeesport | $586.80 | $88.00 – $326.57 |
| UPMC Mercy | Pittsburgh | $586.20 | $88.00 – $326.57 |
| UPMC Passavant-McCandless | Pittsburgh | $602.40 | $88.00 – $326.57 |
| UPMC Presbyterian | Pittsburgh | $783.60 | $88.00 – $326.57 |