Hrdtry brst ca-rlatd do 5+ at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,200.60
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.
$7,001.00
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 $2,920.53 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 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $604.07 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $671.12 | ↓ -84% |
| Independent Health | Commercial | $699.42 | ↓ -83% |
| Independent Health | Medicare Advantage | $699.42 | ↓ -83% |
| Aetna | Commercial | $800.00 | ↓ -81% |
| BCBS of Western NY | Commercial | $930.27 | ↓ -78% |
| United Healthcare | Commercial | $931.48 | ↓ -78% |
| Cigna | New Business ASO | $960.00 | ↓ -77% |
| Cigna | NBR ASO/FI | $960.00 | ↓ -77% |
| Univera | Commercial | $1,056.00 | ↓ -75% |
| UPMC Health Plan | Commercial | $1,177.60 | ↓ -72% |
| Cigna | Commercial | $1,280.00 | ↓ -70% |
| Cigna | EBR | $1,280.00 | ↓ -70% |
| Fidelis | Medicare | $1,303.95 | ↓ -69% |
| Aetna | Medicare | $1,330.03 | ↓ -68% |
| UPMC Health Plan | Partners/Select | $1,331.07 | ↓ -68% |
| Wellcare | Medicare Advantage | $1,343.07 | ↓ -68% |
| BCBS of Western NY | Medicare Advantage | $1,369.15 | ↓ -67% |
| United Healthcare | Medicare | $1,395.23 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,408.14 | ↓ -66% |
| Cigna | Medicare | $1,408.27 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $1,408.27 | ↓ -66% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,408.27 | ↓ -66% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,760.00 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $1,760.00 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,825.35 | ↓ -57% |
| InterGroup | Health Coalition Partners/PPO | $2,080.00 | ↓ -50% |
| Aetna | AXA/MMO | $2,240.00 | ↓ -47% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,240.00 | ↓ -47% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,560.00 | ↓ -39% |
| InterGroup | Beech Street | $2,560.00 | ↓ -39% |
| Highmark BCBS of PA | UPMC Emergent | $2,920.53 | ↓ -30% |
Visitor-reported prices
Comments
Hrdtry brst ca-rlatd do 5+ at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,982.20 | $604.07 – $2,560.00 |
| UPMC Bedford | Everett | $4,135.80 | $470.47 – $2,880.00 |
| UPMC East | Monroeville | $1,920.00 | $609.82 – $2,560.00 |
| UPMC Northwest | Seneca | $4,135.80 | $671.12 – $1,408.27 |
| UPMC Horizon-Greenville | Greenville | $4,135.80 | $671.12 – $1,408.27 |
| UPMC Jameson | New Castle | $4,135.80 | $476.35 – $1,408.27 |
| UPMC Magee | Pittsburgh | $4,135.80 | $609.82 – $1,434.35 |
| UPMC McKeesport | Mckeesport | $3,795.60 | $609.82 – $1,434.35 |