Ercp bil/panc duct; each stent plcmt 43274 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,961.40
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.
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What you pay up front if you don't use insurance.
$8,269.00
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.
$214.14 with UPMC Health Plan vs $8,967.38 with Independent Health — 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 | Commercial | $214.14 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $360.46 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $686.48 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,089.21 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $1,240.35 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $1,742.72 | ↓ -65% |
| United Healthcare | Commercial | $1,754.00 | ↓ -65% |
| Aetna | Commercial | $2,067.25 | ↓ -58% |
| BCBS of Western NY | Commercial | $2,177.52 | ↓ -56% |
| Cigna | NBR ASO/FI | $2,480.70 | ↓ -50% |
| Cigna | New Business ASO | $2,480.70 | ↓ -50% |
| Univera | Commercial | $2,728.77 | ↓ -45% |
| Cigna | EBR | $3,307.60 | ↓ -33% |
| Cigna | Commercial | $3,307.60 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,547.95 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $4,547.95 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $5,374.85 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,788.30 | ↑ +17% |
| Aetna | AXA/MMO | $5,788.30 | ↑ +17% |
| Fidelis | Medicare | $6,550.00 | ↑ +32% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $6,615.20 | ↑ +33% |
| InterGroup | Beech Street | $6,615.20 | ↑ +33% |
| Aetna | Medicare | $6,681.00 | ↑ +35% |
| UPMC Health Plan | Partners/Select | $6,686.24 | ↑ +35% |
| Wellcare | Medicare Advantage | $6,746.50 | ↑ +36% |
| BCBS of Western NY | Medicare Advantage | $6,877.50 | ↑ +39% |
| United Healthcare | Medicare | $7,008.50 | ↑ +41% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,073.35 | ↑ +43% |
| Cigna | Medicare | $7,074.00 | ↑ +43% |
| AmeriHealth Caritas | Medicare | $7,074.00 | ↑ +43% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7,074.00 | ↑ +43% |
| Independent Health | Medicare Advantage | $8,254.31 | ↑ +66% |
| Independent Health | Commercial | $8,967.38 | ↑ +81% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ercp bil/panc duct; each stent plcmt 43274 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,517.80 | $172.48 – $6,129.31 |
| UPMC Cole | Coudersport | $858.60 | $172.48 – $1,144.80 |
| UPMC East | Monroeville | $3,055.20 | $98.53 – $6,129.31 |
| UPMC Jameson | New Castle | $2,754.00 | $172.48 – $7,661.64 |
| UPMC Magee | Pittsburgh | $3,596.40 | $156.59 – $6,242.82 |
| UPMC McKeesport | Mckeesport | $3,033.60 | $93.93 – $6,242.82 |
| UPMC Mercy | Pittsburgh | $4,282.20 | $95.34 – $6,242.82 |
| UPMC Passavant-McCandless | Pittsburgh | $2,919.00 | $96.12 – $6,242.82 |