Hereditary colon ca dsordrs at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,394.80
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.
$5,658.00
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.
$480.00 with Univera vs $2,691.82 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 | $480.00 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $556.77 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $578.07 | ↓ -83% |
| Independent Health | Commercial | $602.45 | ↓ -82% |
| Independent Health | Medicare Advantage | $602.45 | ↓ -82% |
| United Healthcare | Commercial | $795.93 | ↓ -77% |
| Aetna | Commercial | $800.00 | ↓ -76% |
| BCBS of Western NY | Commercial | $801.30 | ↓ -76% |
| Cigna | NBR ASO/FI | $960.00 | ↓ -72% |
| Cigna | New Business ASO | $960.00 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,043.16 | ↓ -69% |
| Univera | Commercial | $1,056.00 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $1,147.48 | ↓ -66% |
| UPMC Health Plan | Commercial | $1,177.60 | ↓ -65% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,199.63 | ↓ -65% |
| Aetna | Medicaid | $1,251.79 | ↓ -63% |
| Cigna | Commercial | $1,280.00 | ↓ -62% |
| Cigna | EBR | $1,280.00 | ↓ -62% |
| Fidelis | Medicare | $1,303.95 | ↓ -62% |
| Aetna | Medicare | $1,330.03 | ↓ -61% |
| UPMC Health Plan | Partners/Select | $1,331.07 | ↓ -61% |
| Wellcare | Medicare Advantage | $1,343.07 | ↓ -60% |
| BCBS of Western NY | Medicare Advantage | $1,369.15 | ↓ -60% |
| United Healthcare | Medicare | $1,395.23 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,408.14 | ↓ -59% |
| Cigna | Medicare | $1,408.27 | ↓ -59% |
| AmeriHealth Caritas | Medicare | $1,408.27 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,408.27 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $1,449.89 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,547.01 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,628.48 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,682.40 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,777.75 | ↓ -48% |
| InterGroup | Health Coalition Partners/PPO | $2,080.00 | ↓ -39% |
| Aetna | AXA/MMO | $2,240.00 | ↓ -34% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,240.00 | ↓ -34% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,560.00 | ↓ -25% |
| InterGroup | Beech Street | $2,560.00 | ↓ -25% |
| Highmark BCBS of PA | UPMC Emergent | $2,691.82 | ↓ -21% |
Visitor-reported prices
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Hereditary colon ca dsordrs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $13,579.80 | $556.77 – $2,560.00 |
| UPMC Bedford | Everett | $13,708.80 | $470.47 – $5,092.20 |
| UPMC East | Monroeville | $3,394.80 | $562.07 – $2,560.00 |
| UPMC Northwest | Seneca | $3,394.80 | $578.07 – $1,408.27 |
| UPMC Horizon-Greenville | Greenville | $13,708.80 | $578.07 – $1,449.89 |
| UPMC Jameson | New Castle | $3,394.80 | $445.10 – $1,408.27 |
| UPMC Magee | Pittsburgh | $2,519.40 | $562.07 – $1,777.75 |
| UPMC McKeesport | Mckeesport | $3,394.80 | $562.07 – $1,434.35 |