Insert/repl sq defib w/eltrd at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$34,910.40
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.
$58,184.00
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.
$401.56 with Highmark BCBS of PA vs $54,885.71 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $401.56 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $881.95 | ↓ -97% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,213.40 | ↓ -97% |
| Highmark BCBS of PA | UPMC Emergent | $1,941.42 | ↓ -94% |
| BCBS of Western NY | Commercial | $4,694.96 | ↓ -87% |
| Univera | Univera_Medicare_Hamot_2024 | $8,727.60 | ↓ -75% |
| Aetna | Commercial | $14,546.00 | ↓ -58% |
| Cigna | New Business ASO | $17,455.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $17,455.20 | ↓ -50% |
| Univera | Commercial | $19,200.72 | ↓ -45% |
| UPMC Health Plan | Commercial | $21,411.71 | ↓ -39% |
| Cigna | Commercial | $23,273.60 | ↓ -33% |
| Cigna | EBR | $23,273.60 | ↓ -33% |
| United Healthcare | Commercial | $27,121.00 | ↓ -22% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32,001.20 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $32,001.20 | ↓ -8% |
| Fidelis | Medicare | $35,278.00 | ↑ +1% |
| Aetna | Medicare | $35,983.56 | ↑ +3% |
| UPMC Health Plan | Partners/Select | $36,011.78 | ↑ +3% |
| Wellcare | Medicare Advantage | $36,336.34 | ↑ +4% |
| BCBS of Western NY | Medicare Advantage | $37,041.90 | ↑ +6% |
| United Healthcare | Medicare | $37,747.46 | ↑ +8% |
| InterGroup | Health Coalition Partners/PPO | $37,819.60 | ↑ +8% |
| Highmark Wholecare (prev Gateway) | Medicare | $38,096.71 | ↑ +9% |
| AmeriHealth Caritas | Medicare | $38,100.24 | ↑ +9% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $38,100.24 | ↑ +9% |
| Cigna | Medicare | $38,100.24 | ↑ +9% |
| Multiplan | PPO (Includes PHCS as a Payer) | $40,728.80 | ↑ +17% |
| Aetna | AXA/MMO | $40,728.80 | ↑ +17% |
| Independent Health | Medicare Advantage | $44,457.34 | ↑ +27% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $46,547.20 | ↑ +33% |
| InterGroup | Beech Street | $46,547.20 | ↑ +33% |
| Independent Health | Commercial | $54,885.71 | ↑ +57% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insert/repl sq defib w/eltrd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $40,435.80 | $401.56 – $53,914.40 |
| UPMC Carlisle | Carlisle | $48,933.60 | $922.97 – $69,322.60 |
| UPMC Community Osteopathic | Harrisburg | $48,933.60 | $922.97 – $69,322.60 |
| UPMC East | Monroeville | $31,258.80 | $405.38 – $41,678.40 |
| UPMC Hanover | Hanover | $48,933.60 | $922.97 – $49,005.49 |
| UPMC Lititz | Lititz | $48,933.60 | $922.97 – $49,270.19 |
| UPMC Magee | Pittsburgh | $2,995.20 | $405.38 – $33,623.56 |
| UPMC Memorial | York | $48,933.60 | $327.29 – $49,190.16 |