Implant ureth bulk agent at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,308.20
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.
$3,847.00
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.
$309.95 with Highmark BCBS of PA vs $1,876.00 with Multiplan — 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 | $309.95 | ↓ -87% |
| Univera | Univera_Medicare_Hamot_2024 | $351.75 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $375.20 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $445.55 | ↓ -81% |
| Aetna | Commercial | $586.25 | ↓ -75% |
| Cigna | New Business ASO | $703.50 | ↓ -70% |
| Cigna | NBR ASO/FI | $703.50 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $773.85 | ↓ -66% |
| Univera | Commercial | $773.85 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $773.85 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $793.31 | ↓ -66% |
| BCBS of Western NY | Commercial | $820.75 | ↓ -64% |
| UPMC Health Plan | Commercial | $862.96 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $936.60 | ↓ -59% |
| Aetna | Medicare | $938.00 | ↓ -59% |
| Cigna | EBR | $938.00 | ↓ -59% |
| Cigna | Commercial | $938.00 | ↓ -59% |
| United Healthcare | Commercial | $1,065.80 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,172.50 | ↓ -49% |
| Highmark BCBS of PA | UPMC Emergent | $1,498.55 | ↓ -35% |
| InterGroup | Health Coalition Partners/PPO | $1,524.25 | ↓ -34% |
| Aetna | AXA/MMO | $1,641.50 | ↓ -29% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,641.50 | ↓ -29% |
| InterGroup | Beech Street | $1,876.00 | ↓ -19% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,876.00 | ↓ -19% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Implant ureth bulk agent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,188.20 | $309.95 – $1,970.40 |
| UPMC Cole | Coudersport | $445.80 | $141.17 – $594.40 |
| UPMC East | Monroeville | $1,096.20 | $312.91 – $1,713.66 |
| UPMC Northwest | Seneca | $1,360.20 | $804.45 – $2,073.68 |
| UPMC Magee | Pittsburgh | $2,408.40 | $141.13 – $1,713.66 |
| UPMC McKeesport | Mckeesport | $495.60 | $141.13 – $1,713.66 |
| UPMC Mercy | Pittsburgh | $1,617.00 | $309.95 – $1,353.18 |
| UPMC Muncy | Muncy | $1,094.40 | $258.15 – $1,548.90 |