Icd reliance df4 ib 64cm at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$48,679.20
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.
$81,132.00
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.
$4,622.48 with Highmark BCBS of PA vs $64,905.60 with InterGroup — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,622.48 | ↓ -91% |
| Univera | Univera_Medicare_Hamot_2024 | $12,169.80 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12,981.12 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $13,967.91 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15,415.08 | ↓ -68% |
| Aetna | Commercial | $20,283.00 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $22,348.46 | ↓ -54% |
| Cigna | NBR ASO/FI | $24,339.60 | ↓ -50% |
| Cigna | New Business ASO | $24,339.60 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $26,773.56 | ↓ -45% |
| Univera | Commercial | $26,773.56 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $26,773.56 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27,446.96 | ↓ -44% |
| BCBS of Western NY | Commercial | $28,396.20 | ↓ -42% |
| UPMC Health Plan | Commercial | $29,856.58 | ↓ -39% |
| Cigna | Commercial | $32,452.80 | ↓ -33% |
| Aetna | Medicare | $32,452.80 | ↓ -33% |
| Cigna | EBR | $32,452.80 | ↓ -33% |
| United Healthcare | Commercial | $36,874.49 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $40,566.00 | ↓ -17% |
| InterGroup | Health Coalition Partners/PPO | $52,735.80 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $56,792.40 | ↑ +17% |
| Aetna | AXA/MMO | $56,792.40 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $64,905.60 | ↑ +33% |
| InterGroup | Beech Street | $64,905.60 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Icd reliance df4 ib 64cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $13,722.00 | $2,045.54 – $21,560.95 |
| UPMC Community Osteopathic | Harrisburg | $18,804.00 | $6,268.00 – $26,639.00 |
| UPMC Memorial | York | $18,804.00 | $1,297.97 – $21,560.95 |
| UPMC Mercy | Pittsburgh | $15,159.00 | $4,622.48 – $17,025.45 |
| UPMC Passavant-McCandless | Pittsburgh | $24,073.20 | $4,666.50 – $31,287.64 |
| UPMC Presbyterian | Pittsburgh | $68,619.60 | $4,666.50 – $34,860.21 |
| UPMC Somerset | Somerset | $18,804.00 | $4,575.73 – $12,914.24 |
| UPMC Williamsport | Williamsport | $14,973.00 | $4,991.00 – $22,459.50 |