Ghs sp train/fitting sp device - kx at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$204.60
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.
$341.00
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.
$51.15 with Univera vs $507.04 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 | $51.15 | ↓ -75% |
| Independent Health | Medicare Advantage | $77.72 | ↓ -62% |
| Independent Health | Commercial | $82.86 | ↓ -60% |
| Aetna | Commercial | $85.25 | ↓ -58% |
| UPMC Health Plan | Commercial | $87.28 | ↓ -57% |
| Cigna | NBR ASO/FI | $102.30 | ↓ -50% |
| Cigna | New Business ASO | $102.30 | ↓ -50% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $104.87 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $106.42 | ↓ -48% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $109.20 | ↓ -47% |
| Univera | Commercial | $112.53 | ↓ -45% |
| Cigna | Commercial | $136.40 | ↓ -33% |
| Cigna | EBR | $136.40 | ↓ -33% |
| Aetna | Medicare | $136.40 | ↓ -33% |
| United Healthcare | Commercial | $139.00 | ↓ -32% |
| Highmark Wholecare (prev Gateway) | Medicare | $170.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $187.55 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $187.55 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $221.65 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $238.70 | ↑ +17% |
| Aetna | AXA/MMO | $238.70 | ↑ +17% |
| Fidelis | Essential Plan | $245.70 | ↑ +20% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $245.70 | ↑ +20% |
| BCBS of Western NY | Commercial | $247.62 | ↑ +21% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $272.80 | ↑ +33% |
| InterGroup | Beech Street | $272.80 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $316.90 | ↑ +55% |
| Highmark BCBS of PA | UPMC Emergent | $507.04 | ↑ +148% |
Visitor-reported prices
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Ghs sp train/fitting sp device - kx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $202.80 | $104.87 – $270.40 |
| UPMC Cole | Coudersport | $249.60 | $106.42 – $332.80 |
| UPMC Northwest | Seneca | $378.00 | $106.42 – $272.19 |
| UPMC Hanover | Hanover | $154.80 | $83.41 – $591.00 |
| UPMC Jameson | New Castle | $389.40 | $73.22 – $106.72 |
| UPMC Mercy | Pittsburgh | $442.20 | $104.87 – $138.01 |
| UPMC Muncy | Muncy | $179.40 | $81.50 – $113.84 |
| UPMC Passavant-McCandless | Pittsburgh | $428.40 | $105.87 – $253.62 |