Endo abl/incom vein/ext/laser/#1 36478 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$19,470.00
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.
$32,450.00
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.
$2,608.00 with United Healthcare vs $25,960.00 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 |
|---|---|---|---|
| United Healthcare | Commercial | $2,608.00 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $3,456.26 | ↓ -82% |
| Fidelis | Medicare | $3,463.26 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,512.30 | ↓ -82% |
| Aetna | Medicare | $3,532.53 | ↓ -82% |
| UPMC Health Plan | Partners/Select | $3,535.30 | ↓ -82% |
| Wellcare | Medicare Advantage | $3,567.16 | ↓ -82% |
| BCBS of Western NY | Medicare Advantage | $3,636.42 | ↓ -81% |
| United Healthcare | Medicare | $3,705.69 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,739.97 | ↓ -81% |
| Cigna | Medicare | $3,740.32 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $3,740.32 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,740.32 | ↓ -81% |
| BCBS of Western NY | Commercial | $4,042.00 | ↓ -79% |
| Independent Health | Medicare Advantage | $4,364.40 | ↓ -78% |
| UPMC Health Plan | Commercial | $4,707.61 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $4,867.50 | ↓ -75% |
| Independent Health | Commercial | $5,097.31 | ↓ -74% |
| Aetna | Commercial | $8,112.50 | ↓ -58% |
| Cigna | New Business ASO | $9,735.00 | ↓ -50% |
| Cigna | NBR ASO/FI | $9,735.00 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $10,613.22 | ↓ -45% |
| Univera | Commercial | $10,708.50 | ↓ -45% |
| Cigna | EBR | $12,980.00 | ↓ -33% |
| Cigna | Commercial | $12,980.00 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $16,981.01 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $17,847.50 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17,847.50 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $21,092.50 | ↑ +8% |
| Aetna | AXA/MMO | $22,715.00 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $22,715.00 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $25,960.00 | ↑ +33% |
| InterGroup | Beech Street | $25,960.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Endo abl/incom vein/ext/laser/#1 36478 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $7,047.00 | $1,016.56 – $9,983.25 |
| UPMC Horizon-Greenville | Greenville | $14,836.80 | $2,056.89 – $5,630.93 |
| UPMC Magee | Pittsburgh | $15,453.60 | $2,347.64 – $3,545.74 |
| UPMC Memorial | York | $7,047.00 | $1,016.56 – $4,829.02 |
| UPMC Presbyterian | Pittsburgh | $24,475.20 | $931.20 – $4,733.15 |
| UPMC Somerset | Somerset | $7,047.00 | $892.40 – $3,456.26 |
| UPMC St. Margaret | Pittsburgh | $16,984.80 | $1,701.76 – $3,545.74 |
| UPMC Williamsport | Williamsport | $3,715.20 | $993.28 – $3,817.96 |