Insertion single tranvenous electrode/ppm/implantable defibrillator at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,615.80
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.
$7,693.00
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.
$392.35 with UPMC Health Plan vs $13,967.29 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $392.35 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $410.18 | ↓ -91% |
| Aetna | Medicaid | $428.02 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $495.75 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $528.96 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $537.87 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $556.81 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $607.85 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $700.19 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $1,036.36 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $1,153.95 | ↓ -75% |
| Aetna | Commercial | $1,923.25 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,115.79 | ↓ -54% |
| Cigna | NBR ASO/FI | $2,307.90 | ↓ -50% |
| Cigna | New Business ASO | $2,307.90 | ↓ -50% |
| Univera | Commercial | $2,538.69 | ↓ -45% |
| United Healthcare | Commercial | $2,849.00 | ↓ -38% |
| Cigna | EBR | $3,077.20 | ↓ -33% |
| Cigna | Commercial | $3,077.20 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $3,385.24 | ↓ -27% |
| BCBS of Western NY | Commercial | $4,694.96 | ↑ +2% |
| InterGroup | Health Coalition Partners/PPO | $5,000.45 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,385.10 | ↑ +17% |
| Aetna | AXA/MMO | $5,385.10 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $6,154.40 | ↑ +33% |
| InterGroup | Beech Street | $6,154.40 | ↑ +33% |
| Fidelis | Medicare | $9,106.23 | ↑ +97% |
| Aetna | Medicare | $9,288.35 | ↑ +101% |
| UPMC Health Plan | Partners/Select | $9,295.64 | ↑ +101% |
| Wellcare | Medicare Advantage | $9,379.42 | ↑ +103% |
| BCBS of Western NY | Medicare Advantage | $9,561.54 | ↑ +107% |
| United Healthcare | Medicare | $9,743.67 | ↑ +111% |
| Highmark Wholecare (prev Gateway) | Medicare | $9,833.82 | ↑ +113% |
| Cigna | Medicare | $9,834.73 | ↑ +113% |
| AmeriHealth Caritas | Medicare | $9,834.73 | ↑ +113% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $9,834.73 | ↑ +113% |
| Independent Health | Medicare Advantage | $11,475.67 | ↑ +149% |
| UPMC Health Plan | Commercial | $12,549.03 | ↑ +172% |
| Independent Health | Commercial | $13,967.29 | ↑ +203% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,804.80 | $356.68 – $6,406.40 |
| UPMC Carlisle | Carlisle | $11,583.60 | $452.98 – $16,410.10 |
| UPMC Community Osteopathic | Harrisburg | $11,583.60 | $452.98 – $16,410.10 |
| UPMC East | Monroeville | $2,794.80 | $392.35 – $8,284.66 |
| UPMC Hanover | Hanover | $11,583.60 | $452.98 – $12,649.66 |
| UPMC Lititz | Lititz | $11,583.60 | $452.98 – $12,718.00 |
| UPMC Memorial | York | $11,583.60 | $452.98 – $12,697.34 |
| UPMC Mercy | Pittsburgh | $7,267.20 | $392.35 – $8,679.17 |