Eeg wo vid ea 12-26hr unmntr at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,178.40
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.
?
What you pay up front if you don't use insurance.
$1,964.00
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.
$116.17 with Highmark BCBS of PA vs $1,571.20 with InterGroup — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $116.17 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $132.00 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $138.00 | ↓ -88% |
| Aetna | Medicaid | $144.00 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $166.79 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $177.96 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $180.96 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $187.33 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $204.50 | ↓ -83% |
| Univera | Univera_Medicare_Hamot_2024 | $294.60 | ↓ -75% |
| UPMC Health Plan | Commercial | $350.58 | ↓ -70% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $351.05 | ↓ -70% |
| Aetna | Commercial | $491.00 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $561.67 | ↓ -52% |
| Fidelis | Medicare | $583.83 | ↓ -50% |
| Cigna | NBR ASO/FI | $589.20 | ↓ -50% |
| Cigna | New Business ASO | $589.20 | ↓ -50% |
| Aetna | Medicare | $595.51 | ↓ -49% |
| UPMC Health Plan | Partners/Select | $595.97 | ↓ -49% |
| Wellcare | Medicare Advantage | $601.34 | ↓ -49% |
| BCBS of Western NY | Medicare Advantage | $613.02 | ↓ -48% |
| United Healthcare | Medicare | $624.70 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $630.48 | ↓ -46% |
| Cigna | Medicare | $630.54 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $630.54 | ↓ -46% |
| AmeriHealth Caritas | Medicare | $630.54 | ↓ -46% |
| Univera | Commercial | $648.12 | ↓ -45% |
| Independent Health | Medicare Advantage | $720.95 | ↓ -39% |
| Cigna | EBR | $785.60 | ↓ -33% |
| Cigna | Commercial | $785.60 | ↓ -33% |
| Independent Health | Commercial | $960.16 | ↓ -19% |
| BCBS of Western NY | Commercial | $1,104.34 | ↓ -6% |
| InterGroup | Health Coalition Partners/PPO | $1,276.60 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,374.80 | ↑ +17% |
| Aetna | AXA/MMO | $1,374.80 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,571.20 | ↑ +33% |
| InterGroup | Beech Street | $1,571.20 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Eeg wo vid ea 12-26hr unmntr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,065.60 | $116.17 – $1,420.80 |
| UPMC Carlisle | Carlisle | $1,773.60 | $152.40 – $2,512.60 |
| UPMC Community Osteopathic | Harrisburg | $1,773.60 | $152.40 – $2,512.60 |
| UPMC East | Monroeville | $1,126.20 | $117.28 – $1,501.60 |
| UPMC Northwest | Seneca | $1,126.20 | $132.00 – $531.15 |
| UPMC Hanover | Hanover | $1,773.60 | $152.40 – $811.01 |
| UPMC Lititz | Lititz | $1,773.60 | $152.40 – $815.39 |
| UPMC Magee | Pittsburgh | $1,062.60 | $117.28 – $546.33 |