Incisn windpipe at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,698.40
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.
$6,164.00
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.
$729.80 with Highmark BCBS of PA vs $4,931.20 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 | $729.80 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $813.99 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $924.60 | ↓ -75% |
| Aetna | Commercial | $1,541.00 | ↓ -58% |
| United Healthcare | Commercial | $1,754.00 | ↓ -53% |
| Cigna | New Business ASO | $1,849.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $1,849.20 | ↓ -50% |
| Univera | Commercial | $2,034.12 | ↓ -45% |
| BCBS of Western NY | Commercial | $2,177.52 | ↓ -41% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,205.27 | ↓ -40% |
| Cigna | EBR | $2,465.60 | ↓ -33% |
| Cigna | Commercial | $2,465.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,876.50 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $3,390.20 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,390.20 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $3,528.40 | ↓ -5% |
| Fidelis | Medicare | $3,568.41 | ↓ -4% |
| Aetna | Medicare | $3,639.78 | ↓ -2% |
| UPMC Health Plan | Partners/Select | $3,642.63 | ↓ -2% |
| Wellcare | Medicare Advantage | $3,675.46 | ↓ -1% |
| BCBS of Western NY | Medicare Advantage | $3,746.83 | ↑ +1% |
| United Healthcare | Medicare | $3,818.20 | ↑ +3% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,853.53 | ↑ +4% |
| Cigna | Medicare | $3,853.88 | ↑ +4% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,853.88 | ↑ +4% |
| AmeriHealth Caritas | Medicare | $3,853.88 | ↑ +4% |
| InterGroup | Health Coalition Partners/PPO | $4,006.60 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,314.80 | ↑ +17% |
| Aetna | AXA/MMO | $4,314.80 | ↑ +17% |
| Independent Health | Medicare Advantage | $4,496.91 | ↑ +22% |
| Independent Health | Commercial | $4,868.12 | ↑ +32% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,931.20 | ↑ +33% |
| InterGroup | Beech Street | $4,931.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Incisn windpipe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,216.40 | $729.80 – $3,339.23 |
| UPMC Community Osteopathic | Harrisburg | $1,051.20 | $791.68 – $7,348.95 |
| UPMC Magee | Pittsburgh | $3,277.20 | $736.75 – $3,401.07 |
| UPMC McKeesport | Mckeesport | $2,258.40 | $736.75 – $3,401.07 |
| UPMC Mercy | Pittsburgh | $2,460.00 | $729.80 – $3,401.07 |
| UPMC Passavant-McCandless | Pittsburgh | $4,334.40 | $736.75 – $3,401.07 |
| UPMC Presbyterian | Pittsburgh | $4,313.40 | $736.75 – $3,401.07 |
| UPMC Somerset | Somerset | $1,051.20 | $285.33 – $308.13 |