healthcosts.net
ER Visit (level 2) at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$640.20
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.
$1,067.00
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.
$36.28 with UPMC Health Plan vs $853.60 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 | $36.28 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $37.93 | ↓ -94% |
| Aetna | Medicaid | $39.58 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $45.84 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $49.73 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $51.49 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $56.20 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $79.81 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $83.05 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $144.80 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $160.05 | ↓ -75% |
| Fidelis | Medicare | $174.25 | ↓ -73% |
| Aetna | Medicare | $177.74 | ↓ -72% |
| UPMC Health Plan | Partners/Select | $177.87 | ↓ -72% |
| Wellcare | Medicare Advantage | $179.48 | ↓ -72% |
| BCBS of Western NY | Medicare Advantage | $182.96 | ↓ -71% |
| United Healthcare | Medicare | $186.45 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $188.17 | ↓ -71% |
| AmeriHealth Caritas | Medicare | $188.19 | ↓ -71% |
| Cigna | Medicare | $188.19 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $188.19 | ↓ -71% |
| United Healthcare | Commercial | $263.00 | ↓ -59% |
| Aetna | Commercial | $266.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $287.56 | ↓ -55% |
| Cigna | NBR ASO/FI | $320.10 | ↓ -50% |
| Cigna | New Business ASO | $320.10 | ↓ -50% |
| Univera | Commercial | $352.11 | ↓ -45% |
| UPMC Health Plan | Commercial | $392.66 | ↓ -39% |
| Independent Health | Medicare Advantage | $409.00 | ↓ -36% |
| Cigna | EBR | $426.80 | ↓ -33% |
| Cigna | Commercial | $426.80 | ↓ -33% |
| Independent Health | Commercial | $440.00 | ↓ -31% |
| Highmark BCBS of PA | UPMC Emergent | $460.11 | ↓ -28% |
| BCBS of Western NY | Commercial | $461.02 | ↓ -28% |
| InterGroup | Health Coalition Partners/PPO | $693.55 | ↑ +8% |
| Aetna | AXA/MMO | $746.90 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $746.90 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $853.60 | ↑ +33% |
| InterGroup | Beech Street | $853.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 2) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $424.20 | $36.28 – $600.95 |
| UPMC East | Monroeville | $652.80 | $36.28 – $870.40 |
| UPMC Carlisle | Carlisle | $570.60 | $34.91 – $808.35 |
| UPMC Altoona | Altoona | $496.20 | $35.00 – $661.60 |
| UPMC Bedford | Everett | $325.20 | $34.63 – $487.80 |
| UPMC Cole | Coudersport | $210.00 | $30.27 – $203.78 |
| UPMC Community Osteopathic | Harrisburg | $570.60 | $34.91 – $808.35 |
| UPMC Hanover | Hanover | $570.60 | $36.28 – $827.37 |