Ep induct arrhy by elect pacing at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,441.80
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.
$2,403.00
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.
$206.25 with UPMC Health Plan vs $2,518.73 with Highmark BCBS of PA — 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 | $206.25 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $215.62 | ↓ -85% |
| Aetna | Medicaid | $225.00 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $260.61 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $278.06 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $282.75 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $292.71 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $319.54 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $360.45 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $520.97 | ↓ -64% |
| Aetna | Commercial | $600.75 | ↓ -58% |
| Cigna | NBR ASO/FI | $720.90 | ↓ -50% |
| Cigna | New Business ASO | $720.90 | ↓ -50% |
| Univera | Commercial | $792.99 | ↓ -45% |
| UPMC Health Plan | Commercial | $801.56 | ↓ -44% |
| Cigna | Commercial | $961.20 | ↓ -33% |
| Cigna | EBR | $961.20 | ↓ -33% |
| BCBS of Western NY | Commercial | $1,044.85 | ↓ -28% |
| United Healthcare | Commercial | $1,092.16 | ↓ -24% |
| Fidelis | Medicare | $1,335.78 | ↓ -7% |
| Aetna | Medicare | $1,362.50 | ↓ -6% |
| UPMC Health Plan | Partners/Select | $1,363.56 | ↓ -5% |
| Wellcare | Medicare Advantage | $1,375.85 | ↓ -5% |
| BCBS of Western NY | Medicare Advantage | $1,402.57 | ↓ -3% |
| United Healthcare | Medicare | $1,429.28 | ↓ -1% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,442.51 | ↑ +0% |
| AmeriHealth Caritas | Medicare | $1,442.64 | ↑ +0% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,442.64 | ↑ +0% |
| Cigna | Medicare | $1,442.64 | ↑ +0% |
| InterGroup | Health Coalition Partners/PPO | $1,561.95 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,574.22 | ↑ +9% |
| Aetna | AXA/MMO | $1,682.10 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,682.10 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,922.40 | ↑ +33% |
| InterGroup | Beech Street | $1,922.40 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $2,063.19 | ↑ +43% |
| Highmark BCBS of PA | UPMC Emergent | $2,518.73 | ↑ +75% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ep induct arrhy by elect pacing at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,447.40 | $238.12 – $3,467.15 |
| UPMC Community Osteopathic | Harrisburg | $2,447.40 | $238.12 – $3,467.15 |
| UPMC Hanover | Hanover | $2,447.40 | $238.12 – $1,855.55 |
| UPMC Lititz | Lititz | $2,447.40 | $238.12 – $2,114.31 |
| UPMC Memorial | York | $2,447.40 | $238.12 – $1,862.56 |
| UPMC Passavant-McCandless | Pittsburgh | $6,268.20 | $206.25 – $2,399.06 |
| UPMC Presbyterian | Pittsburgh | $3,663.00 | $206.25 – $2,409.02 |
| UPMC Somerset | Somerset | $2,447.40 | $206.25 – $2,020.34 |