Emb without cervical dilation 58100 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,928.40
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.
$3,214.00
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.
$56.10 with UPMC Health Plan vs $6,879.78 with BCBS of Western NY — 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 | $56.10 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $58.65 | ↓ -97% |
| Aetna | Medicaid | $61.20 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $70.88 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.63 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $76.91 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.62 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $86.91 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $198.98 | ↓ -90% |
| Fidelis | Medicare | $221.35 | ↓ -89% |
| Aetna | Medicare | $225.78 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $225.95 | ↓ -88% |
| Wellcare | Medicare Advantage | $227.99 | ↓ -88% |
| BCBS of Western NY | Medicare Advantage | $232.42 | ↓ -88% |
| United Healthcare | Medicare | $236.84 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $239.04 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $239.06 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $239.06 | ↓ -88% |
| Cigna | Medicare | $239.06 | ↓ -88% |
| Independent Health | Medicare Advantage | $278.95 | ↓ -86% |
| Independent Health | Commercial | $304.79 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $334.58 | ↓ -83% |
| United Healthcare | Commercial | $340.00 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $482.10 | ↓ -75% |
| Aetna | Commercial | $803.50 | ↓ -58% |
| Cigna | New Business ASO | $964.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $964.20 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,011.02 | ↓ -48% |
| Univera | Commercial | $1,060.62 | ↓ -45% |
| Cigna | EBR | $1,285.60 | ↓ -33% |
| Cigna | Commercial | $1,285.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $1,322.80 | ↓ -31% |
| Highmark BCBS of PA | UPMC Emergent | $1,617.62 | ↓ -16% |
| InterGroup | Health Coalition Partners/PPO | $2,089.10 | ↑ +8% |
| Aetna | AXA/MMO | $2,249.80 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,249.80 | ↑ +17% |
| InterGroup | Beech Street | $2,571.20 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,571.20 | ↑ +33% |
| BCBS of Western NY | Commercial | $6,879.78 | ↑ +257% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Emb without cervical dilation 58100 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $128.40 | $51.00 – $334.58 |
| UPMC Community Osteopathic | Harrisburg | $378.00 | $64.77 – $1,065.46 |
| UPMC Northwest | Seneca | $2,193.00 | $56.10 – $201.38 |
| UPMC Hanover | Hanover | $378.00 | $64.77 – $956.30 |
| UPMC Kane | Kane | $379.80 | $56.10 – $428.67 |
| UPMC Magee | Pittsburgh | $1,057.80 | $56.10 – $337.77 |
| UPMC Memorial | York | $378.00 | $64.77 – $956.30 |
| UPMC Passavant-McCandless | Pittsburgh | $2,178.60 | $56.10 – $337.77 |