Insertion subcutaneous cardiac rhythm monitor at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$7,465.20
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.
$12,442.00
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.
$1,866.30 with Univera vs $14,563.02 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $1,866.30 | ↓ -75% |
| BCBS of Western NY | Commercial | $2,177.52 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $3,012.17 | ↓ -60% |
| Aetna | Commercial | $3,110.50 | ↓ -58% |
| United Healthcare | Commercial | $3,411.00 | ↓ -54% |
| Cigna | New Business ASO | $3,732.60 | ↓ -50% |
| Cigna | NBR ASO/FI | $3,732.60 | ↓ -50% |
| Univera | Commercial | $4,105.86 | ↓ -45% |
| Cigna | Commercial | $4,976.80 | ↓ -33% |
| Cigna | EBR | $4,976.80 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $5,974.86 | ↓ -20% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $6,843.10 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $6,843.10 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $8,087.30 | ↑ +8% |
| Aetna | AXA/MMO | $8,709.40 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,709.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $8,781.90 | ↑ +18% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $9,101.97 | ↑ +22% |
| Fidelis | Medicare | $9,106.23 | ↑ +22% |
| Aetna | Medicare | $9,288.35 | ↑ +24% |
| UPMC Health Plan | Partners/Select | $9,295.64 | ↑ +25% |
| Wellcare | Medicare Advantage | $9,379.42 | ↑ +26% |
| BCBS of Western NY | Medicare Advantage | $9,561.54 | ↑ +28% |
| United Healthcare | Medicare | $9,743.67 | ↑ +31% |
| Highmark Wholecare (prev Gateway) | Medicare | $9,833.82 | ↑ +32% |
| Cigna | Medicare | $9,834.73 | ↑ +32% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $9,834.73 | ↑ +32% |
| AmeriHealth Caritas | Medicare | $9,834.73 | ↑ +32% |
| InterGroup | Beech Street | $9,953.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $9,953.60 | ↑ +33% |
| Independent Health | Medicare Advantage | $11,475.67 | ↑ +54% |
| Independent Health | Commercial | $13,967.29 | ↑ +87% |
| Highmark BCBS of PA | UPMC Emergent | $14,563.02 | ↑ +95% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,788.80 | $2,324.00 – $8,521.36 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $2,371.80 | $1,304.49 – $8,521.36 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $12,649.66 |
| UPMC Jameson | New Castle | $8,109.60 | $892.40 – $10,651.70 |
| UPMC Lititz | Lititz | $17,281.80 | $1,016.56 – $12,718.00 |
| UPMC Magee | Pittsburgh | $14,247.60 | $3,040.85 – $8,679.17 |