Egd remove lesion snare at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,124.80
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.
$5,208.00
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.
$208.28 with UPMC Health Plan vs $4,166.40 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $208.28 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $217.75 | ↓ -93% |
| Aetna | Medicaid | $227.22 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $263.18 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $280.81 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $285.54 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $295.59 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $322.69 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $729.80 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $781.20 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $1,134.32 | ↓ -64% |
| Aetna | Commercial | $1,302.00 | ↓ -58% |
| United Healthcare | Commercial | $1,535.00 | ↓ -51% |
| Cigna | New Business ASO | $1,562.40 | ↓ -50% |
| Cigna | NBR ASO/FI | $1,562.40 | ↓ -50% |
| Univera | Commercial | $1,718.64 | ↓ -45% |
| Cigna | EBR | $2,083.20 | ↓ -33% |
| Cigna | Commercial | $2,083.20 | ↓ -33% |
| Fidelis | Medicare | $2,087.30 | ↓ -33% |
| Aetna | Medicare | $2,129.05 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $2,130.72 | ↓ -32% |
| Wellcare | Medicare Advantage | $2,149.92 | ↓ -31% |
| BCBS of Western NY | Commercial | $2,177.52 | ↓ -30% |
| BCBS of Western NY | Medicare Advantage | $2,191.66 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,205.27 | ↓ -29% |
| United Healthcare | Medicare | $2,233.41 | ↓ -29% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,254.08 | ↓ -28% |
| Cigna | Medicare | $2,254.28 | ↓ -28% |
| AmeriHealth Caritas | Medicare | $2,254.28 | ↓ -28% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,254.28 | ↓ -28% |
| Independent Health | Medicare Advantage | $2,630.42 | ↓ -16% |
| UPMC Health Plan | Commercial | $2,876.15 | ↓ -8% |
| Independent Health | Commercial | $2,980.02 | ↓ -5% |
| InterGroup | Health Coalition Partners/PPO | $3,385.20 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $3,528.40 | ↑ +13% |
| Aetna | AXA/MMO | $3,645.60 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,645.60 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,166.40 | ↑ +33% |
| InterGroup | Beech Street | $4,166.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Egd remove lesion snare at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,675.80 | $189.35 – $2,234.40 |
| UPMC Bedford | Everett | $4,521.60 | $198.82 – $6,782.40 |
| UPMC Cole | Coudersport | $642.60 | $198.82 – $1,072.14 |
| UPMC East | Monroeville | $3,055.20 | $208.28 – $4,073.60 |
| UPMC Northwest | Seneca | $2,132.40 | $208.28 – $1,898.98 |
| UPMC Horizon-Greenville | Greenville | $2,476.20 | $208.28 – $1,953.23 |
| UPMC Jameson | New Castle | $2,476.20 | $208.28 – $2,441.54 |
| UPMC Magee | Pittsburgh | $4,464.60 | $208.28 – $1,953.23 |