Ghs conjunctiva foreign body-superf bil at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$349.20
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.
?
What you pay up front if you don't use insurance.
$582.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$55.76 with Highmark BCBS of PA vs $6,879.78 with BCBS of Western NY — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $55.76 | ↓ -84% |
| Univera | Univera_Medicare_Hamot_2024 | $87.30 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $119.83 | ↓ -66% |
| Fidelis | Medicare | $141.83 | ↓ -59% |
| Aetna | Medicare | $144.67 | ↓ -59% |
| UPMC Health Plan | Partners/Select | $144.78 | ↓ -59% |
| Aetna | Commercial | $145.50 | ↓ -58% |
| Wellcare | Medicare Advantage | $146.08 | ↓ -58% |
| BCBS of Western NY | Medicare Advantage | $148.92 | ↓ -57% |
| United Healthcare | Medicare | $151.76 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $153.16 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $153.18 | ↓ -56% |
| AmeriHealth Caritas | Medicare | $153.18 | ↓ -56% |
| Cigna | Medicare | $153.18 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $168.50 | ↓ -52% |
| Cigna | NBR ASO/FI | $174.60 | ↓ -50% |
| Cigna | New Business ASO | $174.60 | ↓ -50% |
| Independent Health | Medicare Advantage | $178.73 | ↓ -49% |
| Univera | Commercial | $192.06 | ↓ -45% |
| Independent Health | Commercial | $198.67 | ↓ -43% |
| UPMC Health Plan | Commercial | $227.98 | ↓ -35% |
| Cigna | EBR | $232.80 | ↓ -33% |
| Cigna | Commercial | $232.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $269.60 | ↓ -23% |
| Geisinger | Medicaid/CHIP | $320.10 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $320.10 | ↓ -8% |
| United Healthcare | Commercial | $340.00 | ↓ -3% |
| InterGroup | Health Coalition Partners/PPO | $378.30 | ↑ +8% |
| Aetna | AXA/MMO | $407.40 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $407.40 | ↑ +17% |
| InterGroup | Beech Street | $465.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $465.60 | ↑ +33% |
| BCBS of Western NY | Commercial | $6,879.78 | ↑ +1870% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs conjunctiva foreign body-superf bil at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $286.20 | $55.76 – $381.60 |
| UPMC Bedford | Everett | $124.20 | $44.34 – $186.30 |
| UPMC Carlisle | Carlisle | $279.00 | $63.70 – $1,016.56 |
| UPMC Cole | Coudersport | $169.80 | $54.89 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $279.00 | $93.00 – $1,016.56 |
| UPMC East | Monroeville | $235.20 | $56.30 – $313.60 |
| UPMC Northwest | Seneca | $166.20 | $86.74 – $132.72 |
| UPMC Hanover | Hanover | $279.00 | $109.40 – $1,016.56 |