Inj cntr knee arthro incl ct/mri at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$487.80
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.
$813.00
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.
$84.91 with Highmark BCBS of PA vs $724.53 with UPMC Health Plan — 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 | $84.91 | ↓ -83% |
| Univera | Univera_Medicare_Hamot_2024 | $121.95 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $168.45 | ↓ -65% |
| Aetna | Commercial | $203.25 | ↓ -58% |
| Cigna | New Business ASO | $243.90 | ↓ -50% |
| Cigna | NBR ASO/FI | $243.90 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $256.58 | ↓ -47% |
| Univera | Commercial | $268.29 | ↓ -45% |
| Cigna | EBR | $325.20 | ↓ -33% |
| Aetna | Medicare | $325.20 | ↓ -33% |
| Cigna | Commercial | $325.20 | ↓ -33% |
| United Healthcare | Commercial | $340.00 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicare | $406.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $410.52 | ↓ -16% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $447.15 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $447.15 | ↓ -8% |
| BCBS of Western NY | Commercial | $509.87 | ↑ +5% |
| InterGroup | Health Coalition Partners/PPO | $528.45 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $569.10 | ↑ +17% |
| Aetna | AXA/MMO | $569.10 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $650.40 | ↑ +33% |
| InterGroup | Beech Street | $650.40 | ↑ +33% |
| UPMC Health Plan | Commercial | $724.53 | ↑ +49% |
Visitor-reported prices
Comments
Inj cntr knee arthro incl ct/mri at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $121.80 | $84.91 – $583.58 |
| UPMC Carlisle | Carlisle | $186.60 | $42.61 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $186.60 | $43.56 – $583.58 |
| UPMC East | Monroeville | $235.20 | $85.72 – $333.38 |
| UPMC Northwest | Seneca | $162.00 | $168.45 – $420.55 |
| UPMC Hanover | Hanover | $186.60 | $43.56 – $583.58 |
| UPMC Horizon-Greenville | Greenville | $154.80 | $165.19 – $326.92 |
| UPMC Jameson | New Castle | $133.80 | $35.92 – $583.58 |