Ghs opcc repair cvp without subq port at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,338.60
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.
$7,231.00
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.
$41.04 with UPMC Health Plan vs $5,784.80 with InterGroup — 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 | $41.04 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $42.91 | ↓ -99% |
| Aetna | Medicaid | $44.77 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $51.86 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $55.33 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $56.26 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $58.24 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $63.58 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $301.21 | ↓ -93% |
| Fidelis | Medicare | $680.28 | ↓ -84% |
| Aetna | Medicare | $693.89 | ↓ -84% |
| UPMC Health Plan | Partners/Select | $694.43 | ↓ -84% |
| Wellcare | Medicare Advantage | $700.69 | ↓ -84% |
| BCBS of Western NY | Medicare Advantage | $714.29 | ↓ -84% |
| United Healthcare | Medicare | $727.90 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $734.63 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $734.70 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $734.70 | ↓ -83% |
| Cigna | Medicare | $734.70 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $782.70 | ↓ -82% |
| Independent Health | Medicare Advantage | $857.29 | ↓ -80% |
| Independent Health | Commercial | $989.88 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $1,084.65 | ↓ -75% |
| United Healthcare | Commercial | $1,147.00 | ↓ -74% |
| Aetna | Commercial | $1,807.75 | ↓ -58% |
| Cigna | NBR ASO/FI | $2,169.30 | ↓ -50% |
| Cigna | New Business ASO | $2,169.30 | ↓ -50% |
| BCBS of Western NY | Commercial | $2,177.52 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,365.12 | ↓ -45% |
| Univera | Commercial | $2,386.23 | ↓ -45% |
| Cigna | EBR | $2,892.40 | ↓ -33% |
| Cigna | Commercial | $2,892.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $3,324.73 | ↓ -23% |
| Highmark BCBS of PA | UPMC Emergent | $3,784.16 | ↓ -13% |
| InterGroup | Health Coalition Partners/PPO | $4,700.15 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,061.70 | ↑ +17% |
| Aetna | AXA/MMO | $5,061.70 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $5,784.80 | ↑ +33% |
| InterGroup | Beech Street | $5,784.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ghs opcc repair cvp without subq port at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,992.00 | $47.38 – $2,822.00 |
| UPMC Community Osteopathic | Harrisburg | $1,992.00 | $50.37 – $2,822.00 |
| UPMC East | Monroeville | $4,042.20 | $41.04 – $5,389.60 |
| UPMC Northwest | Seneca | $4,956.00 | $41.04 – $618.91 |
| UPMC Hanover | Hanover | $1,992.00 | $47.38 – $1,016.56 |
| UPMC Jameson | New Castle | $3,637.20 | $41.04 – $892.40 |
| UPMC Lititz | Lititz | $1,992.00 | $47.38 – $1,016.56 |
| UPMC Magee | Pittsburgh | $5,838.00 | $41.04 – $790.16 |