Egd balloon dil esoph30 mm/> at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,618.20
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.
$7,697.00
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.
$174.50 with Highmark BCBS of PA vs $6,157.60 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 | $174.50 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $332.32 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $527.31 | ↓ -89% |
| Highmark BCBS of PA | UPMC Emergent | $843.68 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $1,154.55 | ↓ -75% |
| United Healthcare | Commercial | $1,535.00 | ↓ -67% |
| Aetna | Commercial | $1,924.25 | ↓ -58% |
| Fidelis | Medicare | $2,087.30 | ↓ -55% |
| Aetna | Medicare | $2,129.05 | ↓ -54% |
| UPMC Health Plan | Partners/Select | $2,130.72 | ↓ -54% |
| Wellcare | Medicare Advantage | $2,149.92 | ↓ -53% |
| BCBS of Western NY | Commercial | $2,177.52 | ↓ -53% |
| BCBS of Western NY | Medicare Advantage | $2,191.66 | ↓ -53% |
| United Healthcare | Medicare | $2,233.41 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,254.08 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,254.28 | ↓ -51% |
| AmeriHealth Caritas | Medicare | $2,254.28 | ↓ -51% |
| Cigna | Medicare | $2,254.28 | ↓ -51% |
| Cigna | NBR ASO/FI | $2,309.10 | ↓ -50% |
| Cigna | New Business ASO | $2,309.10 | ↓ -50% |
| Univera | Commercial | $2,540.01 | ↓ -45% |
| Independent Health | Medicare Advantage | $2,630.42 | ↓ -43% |
| UPMC Health Plan | Commercial | $2,832.50 | ↓ -39% |
| Independent Health | Commercial | $2,980.02 | ↓ -35% |
| Cigna | EBR | $3,078.80 | ↓ -33% |
| Cigna | Commercial | $3,078.80 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $4,233.35 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,233.35 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $5,003.05 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,387.90 | ↑ +17% |
| Aetna | AXA/MMO | $5,387.90 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $6,157.60 | ↑ +33% |
| InterGroup | Beech Street | $6,157.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Egd balloon dil esoph30 mm/> at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,695.20 | $174.50 – $3,593.60 |
| UPMC Bedford | Everett | $1,163.40 | $332.32 – $1,953.23 |
| UPMC Horizon-Greenville | Greenville | $866.40 | $332.32 – $1,953.23 |
| UPMC Jameson | New Castle | $866.40 | $177.58 – $2,441.54 |
| UPMC Magee | Pittsburgh | $201.60 | $176.17 – $1,989.40 |
| UPMC McKeesport | Mckeesport | $817.20 | $176.17 – $1,989.40 |
| UPMC Mercy | Pittsburgh | $759.00 | $174.50 – $1,989.40 |
| UPMC Passavant-McCandless | Pittsburgh | $3,442.20 | $176.17 – $1,989.40 |