Graft apligraf 3in 44sqcm-q4101-cost per sq cm at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$64.20
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.
$107.00
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.
$16.05 with Univera vs $282.10 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 | $16.05 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.12 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $19.09 | ↓ -70% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $20.33 | ↓ -68% |
| Aetna | Commercial | $26.75 | ↓ -58% |
| Cigna | NBR ASO/FI | $32.10 | ↓ -50% |
| Cigna | New Business ASO | $32.10 | ↓ -50% |
| Univera | Commercial | $35.31 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $35.31 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $35.31 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.20 | ↓ -44% |
| UPMC Health Plan | Commercial | $39.38 | ↓ -39% |
| Cigna | Commercial | $42.80 | ↓ -33% |
| Cigna | EBR | $42.80 | ↓ -33% |
| Aetna | Medicare | $42.80 | ↓ -33% |
| United Healthcare | Commercial | $48.63 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $53.50 | ↓ -17% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $58.35 | ↓ -9% |
| InterGroup | Health Coalition Partners/PPO | $69.55 | ↑ +8% |
| BCBS of Western NY | Commercial | $70.93 | ↑ +10% |
| Multiplan | PPO (Includes PHCS as a Payer) | $74.90 | ↑ +17% |
| Aetna | AXA/MMO | $74.90 | ↑ +17% |
| InterGroup | Beech Street | $85.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $85.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $176.31 | ↑ +175% |
| Highmark BCBS of PA | UPMC Emergent | $282.10 | ↑ +339% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Graft apligraf 3in 44sqcm-q4101-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $62.40 | $19.09 – $91.44 |
| UPMC Bedford | Everett | $64.20 | $19.09 – $161.81 |
| UPMC Cole | Coudersport | $2,605.20 | $30.23 – $176.00 |
| UPMC Passavant-McCandless | Pittsburgh | $74.40 | $30.23 – $58.90 |
| UPMC Wellsboro | Wellsboro | $3,426.40 | $30.23 – $33.56 |
| UPMC Williamsport | Williamsport | $62.40 | $30.23 – $33.56 |
| Uniontown Hospital | Uniontown | $143.50 | $126.52 – $294.79 |