Intro long gi tube at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$661.20
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.
$1,102.00
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.
$21.64 with UPMC Health Plan vs $1,535.00 with United Healthcare — 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 | $21.64 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $22.62 | ↓ -97% |
| Aetna | Medicaid | $23.60 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $27.34 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.17 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $29.66 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30.71 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $33.52 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $55.76 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $57.82 | ↓ -91% |
| Univera | Univera_Medicare_Hamot_2024 | $165.30 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $168.50 | ↓ -75% |
| UPMC Health Plan | Commercial | $227.91 | ↓ -66% |
| Highmark BCBS of PA | UPMC Emergent | $269.60 | ↓ -59% |
| Aetna | Commercial | $275.50 | ↓ -58% |
| Cigna | New Business ASO | $330.60 | ↓ -50% |
| Cigna | NBR ASO/FI | $330.60 | ↓ -50% |
| Univera | Commercial | $363.66 | ↓ -45% |
| Cigna | Commercial | $440.80 | ↓ -33% |
| Cigna | EBR | $440.80 | ↓ -33% |
| BCBS of Western NY | Commercial | $494.99 | ↓ -25% |
| InterGroup | Health Coalition Partners/PPO | $716.30 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $771.40 | ↑ +17% |
| Aetna | AXA/MMO | $771.40 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $881.60 | ↑ +33% |
| InterGroup | Beech Street | $881.60 | ↑ +33% |
| Fidelis | Medicare | $1,031.62 | ↑ +56% |
| Aetna | Medicare | $1,052.25 | ↑ +59% |
| UPMC Health Plan | Partners/Select | $1,053.08 | ↑ +59% |
| Wellcare | Medicare Advantage | $1,062.57 | ↑ +61% |
| BCBS of Western NY | Medicare Advantage | $1,083.20 | ↑ +64% |
| United Healthcare | Medicare | $1,103.83 | ↑ +67% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,114.05 | ↑ +68% |
| Cigna | Medicare | $1,114.15 | ↑ +69% |
| AmeriHealth Caritas | Medicare | $1,114.15 | ↑ +69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,114.15 | ↑ +69% |
| Independent Health | Medicare Advantage | $1,300.05 | ↑ +97% |
| Independent Health | Commercial | $1,412.52 | ↑ +114% |
| United Healthcare | Commercial | $1,535.00 | ↑ +132% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Intro long gi tube at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,869.00 | $19.67 – $2,492.00 |
| UPMC Carlisle | Carlisle | $1,788.00 | $24.98 – $2,533.00 |
| UPMC Community Osteopathic | Harrisburg | $1,788.00 | $24.98 – $2,533.00 |
| UPMC East | Monroeville | $235.20 | $21.64 – $938.54 |
| UPMC Hanover | Hanover | $1,788.00 | $24.98 – $1,433.04 |
| UPMC Horizon-Greenville | Greenville | $571.80 | $21.64 – $965.36 |
| UPMC Jameson | New Castle | $864.60 | $21.64 – $1,206.70 |
| UPMC Lititz | Lititz | $1,788.00 | $24.98 – $1,440.78 |