Ghs excision ingrown nail at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$382.20
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.
$637.00
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.
$55.00 with UPMC Health Plan vs $6,879.78 with BCBS of Western NY — 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 | $55.00 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $57.50 | ↓ -85% |
| Aetna | Medicaid | $60.00 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $69.50 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $74.15 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $75.40 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $78.06 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $85.21 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $92.94 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $95.55 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $125.11 | ↓ -67% |
| Aetna | Commercial | $159.25 | ↓ -58% |
| Cigna | New Business ASO | $191.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $191.10 | ↓ -50% |
| Univera | Commercial | $210.21 | ↓ -45% |
| Cigna | Commercial | $254.80 | ↓ -33% |
| Cigna | EBR | $254.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $280.84 | ↓ -27% |
| United Healthcare | Commercial | $340.00 | ↓ -11% |
| UPMC Health Plan | Commercial | $351.59 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $414.05 | ↑ +8% |
| Fidelis | Medicare | $439.61 | ↑ +15% |
| Aetna | AXA/MMO | $445.90 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $445.90 | ↑ +17% |
| Aetna | Medicare | $448.40 | ↑ +17% |
| UPMC Health Plan | Partners/Select | $448.75 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $449.34 | ↑ +18% |
| Wellcare | Medicare Advantage | $452.80 | ↑ +18% |
| BCBS of Western NY | Medicare Advantage | $461.59 | ↑ +21% |
| United Healthcare | Medicare | $470.38 | ↑ +23% |
| Highmark Wholecare (prev Gateway) | Medicare | $474.73 | ↑ +24% |
| Cigna | Medicare | $474.78 | ↑ +24% |
| AmeriHealth Caritas | Medicare | $474.78 | ↑ +24% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $474.78 | ↑ +24% |
| InterGroup | Beech Street | $509.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $509.60 | ↑ +33% |
| Independent Health | Medicare Advantage | $554.00 | ↑ +45% |
| Independent Health | Commercial | $638.36 | ↑ +67% |
| BCBS of Western NY | Commercial | $6,879.78 | ↑ +1700% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs excision ingrown nail at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $325.80 | $50.00 – $434.40 |
| UPMC Bedford | Everett | $576.00 | $52.50 – $864.00 |
| UPMC Carlisle | Carlisle | $484.80 | $63.50 – $686.80 |
| UPMC Cole | Coudersport | $522.60 | $19.13 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $484.80 | $63.50 – $686.80 |
| UPMC East | Monroeville | $388.80 | $55.00 – $518.40 |
| UPMC Northwest | Seneca | $607.20 | $55.00 – $399.94 |
| UPMC Hanover | Hanover | $484.80 | $63.50 – $610.67 |