Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$566.40
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.
$944.00
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.
$130.12 with Highmark BCBS of PA vs $755.20 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 | $130.12 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $141.55 | ↓ -75% |
| Univera | Univera_Medicare_Hamot_2024 | $141.60 | ↓ -75% |
| Aetna | Commercial | $236.00 | ↓ -58% |
| Cigna | NBR ASO/FI | $283.20 | ↓ -50% |
| Cigna | New Business ASO | $283.20 | ↓ -50% |
| Univera | Commercial | $311.52 | ↓ -45% |
| United Healthcare | Commercial | $340.00 | ↓ -40% |
| Cigna | EBR | $377.60 | ↓ -33% |
| Cigna | Commercial | $377.60 | ↓ -33% |
| Aetna | Medicare | $377.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $393.18 | ↓ -31% |
| Highmark Wholecare (prev Gateway) | Medicare | $472.00 | ↓ -17% |
| BCBS of Western NY | Commercial | $509.87 | ↓ -10% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $519.20 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $519.20 | ↓ -8% |
| UPMC Health Plan | Commercial | $521.03 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $613.60 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $629.08 | ↑ +11% |
| Multiplan | PPO (Includes PHCS as a Payer) | $660.80 | ↑ +17% |
| Aetna | AXA/MMO | $660.80 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $755.20 | ↑ +33% |
| InterGroup | Beech Street | $755.20 | ↑ +33% |
Visitor-reported prices
Comments
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $294.60 | $130.12 – $419.66 |
| UPMC Bedford | Everett | $808.20 | $133.29 – $1,212.30 |
| UPMC Carlisle | Carlisle | $461.40 | $105.35 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $461.40 | $141.08 – $1,016.56 |
| UPMC East | Monroeville | $543.60 | $131.35 – $724.80 |
| UPMC Northwest | Seneca | $450.00 | $134.81 – $337.70 |
| UPMC Hanover | Hanover | $461.40 | $141.08 – $1,016.56 |
| UPMC Horizon-Greenville | Greenville | $427.20 | $134.81 – $253.13 |