Electrd sq emblem s-icd at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$50,632.80
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.
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What you pay up front if you don't use insurance.
$84,388.00
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.
$2,788.46 with Highmark BCBS of PA vs $27,601.60 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 | $2,788.46 | ↓ -94% |
| Univera | Univera_Medicare_Hamot_2024 | $5,175.30 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5,520.32 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $6,555.38 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $8,425.99 | ↓ -83% |
| Aetna | Commercial | $8,625.50 | ↓ -83% |
| Cigna | NBR ASO/FI | $10,350.60 | ↓ -80% |
| Cigna | New Business ASO | $10,350.60 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $11,385.66 | ↓ -78% |
| Univera | Commercial | $11,385.66 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $11,385.66 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11,672.03 | ↓ -77% |
| BCBS of Western NY | Commercial | $12,075.70 | ↓ -76% |
| UPMC Health Plan | Commercial | $12,696.74 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $13,481.46 | ↓ -73% |
| Cigna | EBR | $13,800.80 | ↓ -73% |
| Aetna | Medicare | $13,800.80 | ↓ -73% |
| Cigna | Commercial | $13,800.80 | ↓ -73% |
| United Healthcare | Commercial | $15,681.16 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $17,251.00 | ↓ -66% |
| InterGroup | Health Coalition Partners/PPO | $22,426.30 | ↓ -56% |
| Multiplan | PPO (Includes PHCS as a Payer) | $24,151.40 | ↓ -52% |
| Aetna | AXA/MMO | $24,151.40 | ↓ -52% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $27,601.60 | ↓ -45% |
| InterGroup | Beech Street | $27,601.60 | ↓ -45% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Electrd sq emblem s-icd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,189.60 | $2,788.46 – $12,252.80 |
| UPMC East | Monroeville | $8,575.20 | $2,715.48 – $11,433.60 |
| UPMC Mercy | Pittsburgh | $12,043.80 | $2,577.89 – $2,788.46 |
| UPMC Passavant-McCandless | Pittsburgh | $19,195.80 | $2,815.01 – $4,737.39 |
| UPMC Presbyterian | Pittsburgh | $18,108.60 | $2,815.01 – $5,278.33 |
| WellSpan Chambersburg Hospital | Chambersburg | $5,280.00 | $4,752.00 – $4,752.00 |