Ins cath ren art 1st bi at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$7,562.40
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.
$12,604.00
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.
$322.01 with UPMC Health Plan vs $10,083.20 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $322.01 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $336.65 | ↓ -96% |
| Aetna | Medicaid | $351.29 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $406.88 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $434.13 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $441.45 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $457.00 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $498.89 | ↓ -93% |
| BCBS of Western NY | Commercial | $509.87 | ↓ -93% |
| Univera | Univera_Medicare_Hamot_2024 | $1,890.60 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,915.14 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $2,216.86 | ↓ -71% |
| UPMC Health Plan | Commercial | $2,477.35 | ↓ -67% |
| United Healthcare | Commercial | $2,608.00 | ↓ -66% |
| Aetna | Commercial | $3,151.00 | ↓ -58% |
| Fidelis | Medicare | $3,463.26 | ↓ -54% |
| Aetna | Medicare | $3,532.53 | ↓ -53% |
| UPMC Health Plan | Partners/Select | $3,535.30 | ↓ -53% |
| Wellcare | Medicare Advantage | $3,567.16 | ↓ -53% |
| BCBS of Western NY | Medicare Advantage | $3,636.42 | ↓ -52% |
| United Healthcare | Medicare | $3,705.69 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,739.97 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,740.32 | ↓ -51% |
| AmeriHealth Caritas | Medicare | $3,740.32 | ↓ -51% |
| Cigna | Medicare | $3,740.32 | ↓ -51% |
| Cigna | New Business ASO | $3,781.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $3,781.20 | ↓ -50% |
| Univera | Commercial | $4,159.32 | ↓ -45% |
| Independent Health | Medicare Advantage | $4,364.40 | ↓ -42% |
| Cigna | EBR | $5,041.60 | ↓ -33% |
| Cigna | Commercial | $5,041.60 | ↓ -33% |
| Independent Health | Commercial | $5,097.31 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $5,787.05 | ↓ -23% |
| InterGroup | Health Coalition Partners/PPO | $8,192.60 | ↑ +8% |
| Aetna | AXA/MMO | $8,822.80 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,822.80 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $9,259.19 | ↑ +22% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $10,083.20 | ↑ +33% |
| InterGroup | Beech Street | $10,083.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ins cath ren art 1st bi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,169.40 | $292.74 – $5,559.20 |
| UPMC Carlisle | Carlisle | $6,300.60 | $371.78 – $8,925.85 |
| UPMC Community Osteopathic | Harrisburg | $6,300.60 | $383.49 – $8,925.85 |
| UPMC East | Monroeville | $11,313.00 | $322.01 – $15,084.00 |
| UPMC Northwest | Seneca | $12,124.80 | $322.01 – $3,150.80 |
| UPMC Hanover | Hanover | $6,300.60 | $371.78 – $4,810.90 |
| UPMC Jameson | New Castle | $4,954.20 | $322.01 – $4,051.03 |
| UPMC Lititz | Lititz | $6,300.60 | $371.78 – $4,836.88 |