Hla i & ii typing lr at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,345.00
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.
?
What you pay up front if you don't use insurance.
$5,575.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$160.65 with Univera vs $2,463.19 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $160.65 | ↓ -95% |
| Aetna | Commercial | $267.75 | ↓ -92% |
| Cigna | NBR ASO/FI | $321.30 | ↓ -90% |
| Cigna | New Business ASO | $321.30 | ↓ -90% |
| Univera | Commercial | $353.43 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $397.42 | ↓ -88% |
| Fidelis | Medicare | $402.12 | ↓ -88% |
| Aetna | Medicare | $410.16 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $410.48 | ↓ -88% |
| Independent Health | Commercial | $414.18 | ↓ -88% |
| Wellcare | Medicare Advantage | $414.18 | ↓ -88% |
| Independent Health | Medicare Advantage | $414.18 | ↓ -88% |
| BCBS of Western NY | Medicare Advantage | $422.23 | ↓ -87% |
| Cigna | EBR | $428.40 | ↓ -87% |
| Cigna | Commercial | $428.40 | ↓ -87% |
| United Healthcare | Medicare | $430.27 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $434.25 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $434.29 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $434.29 | ↓ -87% |
| Cigna | Medicare | $434.29 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $438.88 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $482.77 | ↓ -86% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $504.71 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $509.48 | ↓ -85% |
| Aetna | Medicaid | $526.66 | ↓ -84% |
| United Healthcare | Commercial | $548.60 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $610.00 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $650.86 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $685.14 | ↓ -80% |
| InterGroup | Health Coalition Partners/PPO | $696.15 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $747.94 | ↓ -78% |
| Multiplan | PPO (Includes PHCS as a Payer) | $749.70 | ↓ -78% |
| Aetna | AXA/MMO | $749.70 | ↓ -78% |
| BCBS of Western NY | Commercial | $847.52 | ↓ -75% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $856.80 | ↓ -74% |
| InterGroup | Beech Street | $856.80 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,539.51 | ↓ -54% |
| UPMC Health Plan | Commercial | $1,789.86 | ↓ -46% |
| Highmark BCBS of PA | UPMC Emergent | $2,463.19 | ↓ -26% |
Visitor-reported prices
Comments
Hla i & ii typing lr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,026.80 | $397.42 – $2,702.40 |
| UPMC Carlisle | Carlisle | $2,323.80 | $398.10 – $3,292.05 |
| UPMC Community Osteopathic | Harrisburg | $2,323.80 | $398.10 – $3,584.34 |
| UPMC East | Monroeville | $562.20 | $309.21 – $749.60 |
| UPMC Hanover | Hanover | $2,323.80 | $398.10 – $643.39 |
| UPMC Lititz | Lititz | $2,323.80 | $398.10 – $643.39 |
| UPMC Magee | Pittsburgh | $2,228.40 | $376.34 – $747.94 |
| UPMC Memorial | York | $2,323.80 | $415.25 – $2,718.09 |