Ins cath ren art 2nd+ uni at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$5,618.40
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.
$9,364.00
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.
$344.41 with UPMC Health Plan vs $12,846.99 with Highmark BCBS of PA — 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 | $344.41 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $360.06 | ↓ -94% |
| Aetna | Medicaid | $375.72 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $435.18 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $464.33 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $472.15 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $488.78 | ↓ -91% |
| BCBS of Western NY | Commercial | $509.87 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $533.59 | ↓ -91% |
| Univera | Univera_Medicare_Hamot_2024 | $1,404.60 | ↓ -75% |
| Aetna | Commercial | $2,341.00 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,657.23 | ↓ -53% |
| UPMC Health Plan | Commercial | $2,752.67 | ↓ -51% |
| Cigna | NBR ASO/FI | $2,809.20 | ↓ -50% |
| Cigna | New Business ASO | $2,809.20 | ↓ -50% |
| United Healthcare | Commercial | $2,849.00 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $3,075.88 | ↓ -45% |
| Univera | Commercial | $3,090.12 | ↓ -45% |
| Cigna | Commercial | $3,745.60 | ↓ -33% |
| Cigna | EBR | $3,745.60 | ↓ -33% |
| Fidelis | Medicare | $5,948.00 | ↑ +6% |
| Aetna | Medicare | $6,066.96 | ↑ +8% |
| UPMC Health Plan | Partners/Select | $6,071.72 | ↑ +8% |
| InterGroup | Health Coalition Partners/PPO | $6,086.60 | ↑ +8% |
| Wellcare | Medicare Advantage | $6,126.44 | ↑ +9% |
| BCBS of Western NY | Medicare Advantage | $6,245.40 | ↑ +11% |
| United Healthcare | Medicare | $6,364.36 | ↑ +13% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,423.25 | ↑ +14% |
| Cigna | Medicare | $6,423.84 | ↑ +14% |
| AmeriHealth Caritas | Medicare | $6,423.84 | ↑ +14% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,423.84 | ↑ +14% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,554.80 | ↑ +17% |
| Aetna | AXA/MMO | $6,554.80 | ↑ +17% |
| InterGroup | Beech Street | $7,491.20 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $7,491.20 | ↑ +33% |
| Independent Health | Medicare Advantage | $7,495.67 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $8,029.44 | ↑ +43% |
| Independent Health | Commercial | $8,794.63 | ↑ +57% |
| Highmark BCBS of PA | UPMC Emergent | $12,846.99 | ↑ +129% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ins cath ren art 2nd+ uni at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,785.80 | $313.10 – $7,714.40 |
| UPMC Carlisle | Carlisle | $10,450.20 | $397.64 – $14,804.45 |
| UPMC Community Osteopathic | Harrisburg | $10,450.20 | $410.16 – $14,804.45 |
| UPMC East | Monroeville | $7,236.60 | $344.41 – $9,648.80 |
| UPMC Hanover | Hanover | $10,450.20 | $397.64 – $8,262.51 |
| UPMC Lititz | Lititz | $10,450.20 | $397.64 – $8,307.14 |
| UPMC Magee | Pittsburgh | $11,560.20 | $344.41 – $5,565.99 |
| UPMC Memorial | York | $10,450.20 | $397.64 – $8,293.65 |