Ins tun cv cath wo subq prt/pm at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,346.00
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.
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What you pay up front if you don't use insurance.
$3,910.00
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.
$586.50 with Univera vs $5,097.31 with Independent Health — 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $586.50 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $782.70 | ↓ -67% |
| Aetna | Commercial | $977.50 | ↓ -58% |
| Cigna | NBR ASO/FI | $1,173.00 | ↓ -50% |
| Cigna | New Business ASO | $1,173.00 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $1,258.41 | ↓ -46% |
| Univera | Commercial | $1,290.30 | ↓ -45% |
| Cigna | Commercial | $1,564.00 | ↓ -33% |
| Cigna | EBR | $1,564.00 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $2,150.50 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,150.50 | ↓ -8% |
| BCBS of Western NY | Commercial | $2,177.52 | ↓ -7% |
| UPMC Health Plan | Commercial | $2,246.66 | ↓ -4% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,365.12 | ↑ +1% |
| InterGroup | Health Coalition Partners/PPO | $2,541.50 | ↑ +8% |
| United Healthcare | Commercial | $2,608.00 | ↑ +11% |
| Aetna | AXA/MMO | $2,737.00 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,737.00 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $3,128.00 | ↑ +33% |
| InterGroup | Beech Street | $3,128.00 | ↑ +33% |
| Fidelis | Medicare | $3,463.26 | ↑ +48% |
| Aetna | Medicare | $3,532.53 | ↑ +51% |
| UPMC Health Plan | Partners/Select | $3,535.30 | ↑ +51% |
| Wellcare | Medicare Advantage | $3,567.16 | ↑ +52% |
| BCBS of Western NY | Medicare Advantage | $3,636.42 | ↑ +55% |
| United Healthcare | Medicare | $3,705.69 | ↑ +58% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,739.97 | ↑ +59% |
| Cigna | Medicare | $3,740.32 | ↑ +59% |
| AmeriHealth Caritas | Medicare | $3,740.32 | ↑ +59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,740.32 | ↑ +59% |
| Highmark BCBS of PA | UPMC Emergent | $3,784.16 | ↑ +61% |
| Independent Health | Medicare Advantage | $4,364.40 | ↑ +86% |
| Independent Health | Commercial | $5,097.31 | ↑ +117% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ins tun cv cath wo subq prt/pm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,502.00 | $782.70 – $3,336.00 |
| UPMC Bedford | Everett | $5,619.60 | $998.08 – $8,429.40 |
| UPMC Carlisle | Carlisle | $4,201.80 | $959.41 – $5,952.55 |
| UPMC Cole | Coudersport | $1,461.60 | $675.26 – $1,948.80 |
| UPMC Community Osteopathic | Harrisburg | $4,201.80 | $910.80 – $3,870.90 |
| UPMC East | Monroeville | $3,278.40 | $790.16 – $4,371.20 |
| UPMC Northwest | Seneca | $2,386.20 | $854.83 – $3,240.82 |
| UPMC Hanover | Hanover | $4,201.80 | $1,016.56 – $4,810.90 |