Evoked oa emissions ltd at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$119.40
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.
$199.00
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.
$29.85 with Univera vs $500.44 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $29.85 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $36.97 | ↓ -69% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $38.65 | ↓ -68% |
| Aetna | Medicaid | $40.33 | ↓ -66% |
| BCBS of Western NY | Commercial | $43.21 | ↓ -64% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $45.89 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $46.71 | ↓ -61% |
| Aetna | Commercial | $49.75 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $49.84 | ↓ -58% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $50.68 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $52.47 | ↓ -56% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $57.28 | ↓ -52% |
| Cigna | NBR ASO/FI | $59.70 | ↓ -50% |
| Cigna | New Business ASO | $59.70 | ↓ -50% |
| Univera | Commercial | $65.67 | ↓ -45% |
| UPMC Health Plan | Commercial | $65.74 | ↓ -45% |
| Aetna | Medicare | $79.60 | ↓ -33% |
| Cigna | Commercial | $79.60 | ↓ -33% |
| Cigna | EBR | $79.60 | ↓ -33% |
| United Healthcare | Commercial | $90.45 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $99.50 | ↓ -17% |
| InterGroup | Health Coalition Partners/PPO | $129.35 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $138.68 | ↑ +16% |
| Aetna | AXA/MMO | $139.30 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $139.30 | ↑ +17% |
| UPMC Work Partners | Workers Comp | $145.86 | ↑ +22% |
| InterGroup | Beech Street | $159.20 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $159.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $221.88 | ↑ +86% |
| Fidelis | Medicare | $342.64 | ↑ +187% |
| UPMC Health Plan | Partners/Select | $349.77 | ↑ +193% |
| Wellcare | Medicare Advantage | $352.92 | ↑ +196% |
| BCBS of Western NY | Medicare Advantage | $359.77 | ↑ +201% |
| United Healthcare | Medicare | $366.62 | ↑ +207% |
| Cigna | Medicare | $370.05 | ↑ +210% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $370.05 | ↑ +210% |
| AmeriHealth Caritas | Medicare | $370.05 | ↑ +210% |
| Independent Health | Medicare Advantage | $375.76 | ↑ +215% |
| Independent Health | Commercial | $500.44 | ↑ +319% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Evoked oa emissions ltd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $145.80 | $36.97 – $320.63 |
| UPMC Presbyterian | Pittsburgh | $446.40 | $32.16 – $326.57 |
| Uniontown Hospital | Uniontown | $353.50 | $13.39 – $434.70 |
| WellSpan Good Samaritan Hospital | Lebanon | $151.20 | $42.01 – $538.32 |