Inj epidural sgl lumb-sacral without img at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,980.00
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.
?
What you pay up front if you don't use insurance.
$3,300.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$78.27 with UPMC Health Plan vs $2,640.00 with InterGroup — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $78.27 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $81.82 | ↓ -96% |
| Aetna | Medicaid | $85.38 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $98.89 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $98.94 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $105.52 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $107.29 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $111.07 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $121.25 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $200.76 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $298.98 | ↓ -85% |
| Highmark BCBS of PA | UPMC Emergent | $478.37 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $495.00 | ↓ -75% |
| Aetna | Commercial | $825.00 | ↓ -58% |
| Fidelis | Medicare | $979.60 | ↓ -51% |
| Cigna | New Business ASO | $990.00 | ↓ -50% |
| Cigna | NBR ASO/FI | $990.00 | ↓ -50% |
| Aetna | Medicare | $999.19 | ↓ -50% |
| UPMC Health Plan | Partners/Select | $999.98 | ↓ -49% |
| Wellcare | Medicare Advantage | $1,008.99 | ↓ -49% |
| BCBS of Western NY | Medicare Advantage | $1,028.58 | ↓ -48% |
| United Healthcare | Medicare | $1,048.17 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,057.87 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,057.97 | ↓ -47% |
| AmeriHealth Caritas | Medicare | $1,057.97 | ↓ -47% |
| Cigna | Medicare | $1,057.97 | ↓ -47% |
| Univera | Commercial | $1,089.00 | ↓ -45% |
| United Healthcare | Commercial | $1,147.00 | ↓ -42% |
| Independent Health | Medicare Advantage | $1,234.49 | ↓ -38% |
| Cigna | EBR | $1,320.00 | ↓ -33% |
| Cigna | Commercial | $1,320.00 | ↓ -33% |
| Independent Health | Commercial | $1,458.15 | ↓ -26% |
| BCBS of Western NY | Commercial | $1,572.66 | ↓ -21% |
| InterGroup | Health Coalition Partners/PPO | $2,145.00 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,310.00 | ↑ +17% |
| Aetna | AXA/MMO | $2,310.00 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,426.87 | ↑ +23% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,640.00 | ↑ +33% |
| InterGroup | Beech Street | $2,640.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj epidural sgl lumb-sacral without img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,629.00 | $71.15 – $2,172.00 |
| UPMC East | Monroeville | $1,278.00 | $78.27 – $1,704.00 |
| UPMC Horizon-Greenville | Greenville | $1,956.60 | $78.27 – $916.68 |
| UPMC Jameson | New Castle | $1,956.60 | $78.27 – $1,145.85 |
| UPMC Magee | Pittsburgh | $2,641.20 | $78.27 – $916.68 |
| UPMC Mercy | Pittsburgh | $1,541.40 | $78.27 – $933.66 |
| UPMC Muncy | Muncy | $1,260.60 | $78.27 – $993.28 |
| UPMC Passavant-McCandless | Pittsburgh | $1,549.80 | $78.27 – $933.66 |