Hepatobiliary system imaging at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$652.20
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.
$1,087.00
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.
$163.05 with Univera vs $1,006.43 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 | $163.05 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $208.17 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $266.27 | ↓ -59% |
| Aetna | Commercial | $271.75 | ↓ -58% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $278.37 | ↓ -57% |
| Aetna | Medicaid | $290.47 | ↓ -55% |
| Cigna | New Business ASO | $326.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $326.10 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $336.44 | ↓ -48% |
| UPMC Health Plan | Commercial | $351.42 | ↓ -46% |
| Univera | Commercial | $358.71 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicaid | $358.97 | ↓ -45% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $365.03 | ↓ -44% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $377.88 | ↓ -42% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $412.52 | ↓ -37% |
| Cigna | Commercial | $434.80 | ↓ -33% |
| Cigna | EBR | $434.80 | ↓ -33% |
| Fidelis | Medicare | $442.14 | ↓ -32% |
| UPMC Work Partners | Workers Comp | $446.10 | ↓ -32% |
| Aetna | Medicare | $450.98 | ↓ -31% |
| UPMC Health Plan | Partners/Select | $451.34 | ↓ -31% |
| Wellcare | Medicare Advantage | $455.40 | ↓ -30% |
| BCBS of Western NY | Medicare Advantage | $464.25 | ↓ -29% |
| United Healthcare | Medicare | $473.09 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $477.47 | ↓ -27% |
| AmeriHealth Caritas | Medicare | $477.51 | ↓ -27% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $477.51 | ↓ -27% |
| Cigna | Medicare | $477.51 | ↓ -27% |
| United Healthcare | Commercial | $494.04 | ↓ -24% |
| Independent Health | Medicare Advantage | $546.54 | ↓ -16% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $629.03 | ↓ -4% |
| InterGroup | Health Coalition Partners/PPO | $706.55 | ↑ +8% |
| Independent Health | Commercial | $727.88 | ↑ +12% |
| Aetna | AXA/MMO | $760.90 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $760.90 | ↑ +17% |
| BCBS of Western NY | Commercial | $764.96 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $869.60 | ↑ +33% |
| InterGroup | Beech Street | $869.60 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,006.43 | ↑ +54% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Hepatobiliary system imaging at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $473.40 | $208.17 – $631.20 |
| UPMC Bedford | Everett | $823.80 | $138.22 – $1,235.70 |
| UPMC Carlisle | Carlisle | $1,228.80 | $280.58 – $1,740.80 |
| UPMC Cole | Coudersport | $1,164.00 | $254.16 – $1,552.00 |
| UPMC Community Osteopathic | Harrisburg | $1,228.80 | $54.60 – $703.75 |
| UPMC East | Monroeville | $2,619.00 | $193.59 – $3,492.00 |
| UPMC Northwest | Seneca | $855.60 | $195.39 – $446.10 |
| UPMC Hanover | Hanover | $1,228.80 | $280.96 – $614.19 |