Endoluminal bx biliary tree at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$8,707.20
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.
$14,512.00
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.
$151.04 with UPMC Health Plan vs $11,609.60 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $151.04 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $157.91 | ↓ -98% |
| Aetna | Medicaid | $164.77 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $190.85 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $203.63 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $207.06 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $214.35 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $234.00 | ↓ -97% |
| United Healthcare | Commercial | $340.00 | ↓ -96% |
| BCBS of Western NY | Commercial | $362.97 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $882.78 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $1,690.79 | ↓ -81% |
| Univera | Univera_Medicare_Hamot_2024 | $2,176.80 | ↓ -75% |
| UPMC Health Plan | Commercial | $2,477.21 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,667.53 | ↓ -69% |
| Aetna | Commercial | $3,628.00 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $4,268.01 | ↓ -51% |
| Cigna | New Business ASO | $4,353.60 | ↓ -50% |
| Cigna | NBR ASO/FI | $4,353.60 | ↓ -50% |
| Univera | Commercial | $4,788.96 | ↓ -45% |
| Aetna | Medicare | $5,804.80 | ↓ -33% |
| Cigna | EBR | $5,804.80 | ↓ -33% |
| Cigna | Commercial | $5,804.80 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,256.00 | ↓ -17% |
| InterGroup | Health Coalition Partners/PPO | $9,432.80 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $10,158.40 | ↑ +17% |
| Aetna | AXA/MMO | $10,158.40 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $11,609.60 | ↑ +33% |
| InterGroup | Beech Street | $11,609.60 | ↑ +33% |
Visitor-reported prices
Comments
Endoluminal bx biliary tree at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,354.40 | $174.38 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $2,354.40 | $179.88 – $3,643.97 |
| UPMC Hanover | Hanover | $2,354.40 | $174.38 – $1,769.44 |
| UPMC Lititz | Lititz | $2,354.40 | $131.69 – $1,769.44 |
| UPMC Memorial | York | $2,354.40 | $131.69 – $1,769.44 |
| UPMC Mercy | Pittsburgh | $7,821.60 | $151.04 – $1,960.27 |
| UPMC Passavant-McCandless | Pittsburgh | $20,091.00 | $151.04 – $1,966.04 |
| UPMC Somerset | Somerset | $2,354.40 | $151.04 – $1,690.79 |