Expander tiss 133s-mv-12-t 300ml natrelle smth at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,733.80
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.
$6,223.00
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.
$249.45 with Univera vs $2,792.65 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $249.45 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $266.08 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $315.97 | ↓ -92% |
| Aetna | Commercial | $415.75 | ↓ -89% |
| Cigna | New Business ASO | $498.90 | ↓ -87% |
| Cigna | NBR ASO/FI | $498.90 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $548.79 | ↓ -85% |
| Univera | Commercial | $548.79 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $548.79 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $562.59 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $577.62 | ↓ -85% |
| BCBS of Western NY | Commercial | $582.05 | ↓ -84% |
| UPMC Health Plan | Commercial | $611.98 | ↓ -84% |
| Aetna | Medicare | $665.20 | ↓ -82% |
| Cigna | Commercial | $665.20 | ↓ -82% |
| Cigna | EBR | $665.20 | ↓ -82% |
| United Healthcare | Commercial | $755.83 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $831.50 | ↓ -78% |
| InterGroup | Health Coalition Partners/PPO | $1,080.95 | ↓ -71% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,164.10 | ↓ -69% |
| Aetna | AXA/MMO | $1,164.10 | ↓ -69% |
| InterGroup | Beech Street | $1,330.40 | ↓ -64% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,330.40 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,745.42 | ↓ -53% |
| Highmark BCBS of PA | UPMC Emergent | $2,792.65 | ↓ -25% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Expander tiss 133s-mv-12-t 300ml natrelle smth at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,798.80 | $143.64 – $3,518.26 |
| UPMC East | Monroeville | $2,841.00 | $572.09 – $3,518.26 |
| UPMC Northwest | Seneca | $3,237.00 | $1,499.15 – $4,257.40 |
| UPMC Magee | Pittsburgh | $5,923.80 | $442.55 – $3,518.26 |
| UPMC McKeesport | Mckeesport | $2,529.00 | $442.55 – $3,518.26 |
| UPMC Mercy | Pittsburgh | $2,730.60 | $577.62 – $2,778.17 |
| UPMC Muncy | Muncy | $3,449.40 | $113.40 – $680.40 |
| UPMC Passavant-McCandless | Pittsburgh | $5,235.60 | $583.12 – $5,105.43 |