Inj dx for sinogram at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$562.20
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.
$937.00
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.
$38.50 with UPMC Health Plan vs $749.60 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $38.50 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $40.25 | ↓ -93% |
| Aetna | Medicaid | $42.00 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $48.65 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $51.91 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $52.78 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $54.64 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $59.65 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $96.54 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $130.12 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $140.55 | ↓ -75% |
| Aetna | Commercial | $234.25 | ↓ -58% |
| Cigna | NBR ASO/FI | $281.10 | ↓ -50% |
| Cigna | New Business ASO | $281.10 | ↓ -50% |
| Univera | Commercial | $309.21 | ↓ -45% |
| United Healthcare | Commercial | $340.00 | ↓ -40% |
| Aetna | Medicare | $374.80 | ↓ -33% |
| Cigna | Commercial | $374.80 | ↓ -33% |
| Cigna | EBR | $374.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $393.18 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicare | $468.50 | ↓ -17% |
| BCBS of Western NY | Commercial | $509.87 | ↓ -9% |
| UPMC Health Plan | Commercial | $519.01 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $609.05 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $629.08 | ↑ +12% |
| Aetna | AXA/MMO | $655.90 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $655.90 | ↑ +17% |
| InterGroup | Beech Street | $749.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $749.60 | ↑ +33% |
Visitor-reported prices
Comments
Inj dx for sinogram at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $640.20 | $35.00 – $853.60 |
| UPMC Carlisle | Carlisle | $2,304.60 | $44.45 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $2,304.60 | $45.85 – $3,264.85 |
| UPMC East | Monroeville | $543.60 | $38.50 – $724.80 |
| UPMC Hanover | Hanover | $2,304.60 | $44.45 – $96.94 |
| UPMC Horizon-Greenville | Greenville | $360.60 | $36.75 – $253.13 |
| UPMC Jameson | New Castle | $360.60 | $33.56 – $132.41 |
| UPMC Kane | Kane | $606.60 | $38.50 – $598.02 |