Ghs somatosensory testing upper & lower limbs at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$741.00
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.
$1,235.00
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.
$185.25 with Univera vs $1,419.29 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 | $185.25 | ↓ -75% |
| UPMC Health Plan | Commercial | $205.65 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $240.33 | ↓ -68% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $251.25 | ↓ -66% |
| Aetna | Medicaid | $262.18 | ↓ -65% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $293.56 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $303.67 | ↓ -59% |
| Aetna | Commercial | $308.75 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $324.01 | ↓ -56% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $329.47 | ↓ -56% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $341.07 | ↓ -54% |
| Cigna | New Business ASO | $370.50 | ↓ -50% |
| Cigna | NBR ASO/FI | $370.50 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $372.33 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $402.64 | ↓ -46% |
| Univera | Commercial | $407.55 | ↓ -45% |
| Cigna | EBR | $494.00 | ↓ -33% |
| Cigna | Commercial | $494.00 | ↓ -33% |
| United Healthcare | Commercial | $561.31 | ↓ -24% |
| Fidelis | Medicare | $583.83 | ↓ -21% |
| Aetna | Medicare | $595.51 | ↓ -20% |
| UPMC Health Plan | Partners/Select | $595.97 | ↓ -20% |
| Wellcare | Medicare Advantage | $601.34 | ↓ -19% |
| BCBS of Western NY | Medicare Advantage | $613.02 | ↓ -17% |
| United Healthcare | Medicare | $624.70 | ↓ -16% |
| Highmark Wholecare (prev Gateway) | Medicare | $630.48 | ↓ -15% |
| Cigna | Medicare | $630.54 | ↓ -15% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $630.54 | ↓ -15% |
| AmeriHealth Caritas | Medicare | $630.54 | ↓ -15% |
| Independent Health | Medicare Advantage | $720.95 | ↓ -3% |
| BCBS of Western NY | Commercial | $780.95 | ↑ +5% |
| InterGroup | Health Coalition Partners/PPO | $802.75 | ↑ +8% |
| Aetna | AXA/MMO | $864.50 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $864.50 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $887.06 | ↑ +20% |
| Independent Health | Commercial | $960.16 | ↑ +30% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $988.00 | ↑ +33% |
| InterGroup | Beech Street | $988.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,419.29 | ↑ +92% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs somatosensory testing upper & lower limbs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $687.00 | $184.39 – $916.00 |
| UPMC Bedford | Everett | $2,029.20 | $182.51 – $3,043.80 |
| UPMC Carlisle | Carlisle | $1,077.00 | $241.55 – $1,525.75 |
| UPMC Community Osteopathic | Harrisburg | $1,077.00 | $241.55 – $1,525.75 |
| UPMC East | Monroeville | $777.00 | $240.33 – $1,036.00 |
| UPMC Northwest | Seneca | $1,858.80 | $240.33 – $531.15 |
| UPMC Hanover | Hanover | $1,077.00 | $241.55 – $811.01 |
| UPMC Jameson | New Castle | $1,818.60 | $212.05 – $632.33 |