Kidney imag w/bld flow multi at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,749.60
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.
$2,916.00
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.
$247.33 with Highmark BCBS of PA vs $2,332.80 with Multiplan — 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 | $247.33 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $262.35 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $274.27 | ↓ -84% |
| Aetna | Medicaid | $286.20 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $331.49 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $353.70 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $359.66 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $372.32 | ↓ -79% |
| UPMC Health Plan | Commercial | $385.04 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $406.45 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $437.40 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $501.14 | ↓ -71% |
| Fidelis | Medicare | $592.27 | ↓ -66% |
| Aetna | Medicare | $604.12 | ↓ -65% |
| UPMC Health Plan | Partners/Select | $604.59 | ↓ -65% |
| Wellcare | Medicare Advantage | $610.04 | ↓ -65% |
| BCBS of Western NY | Medicare Advantage | $621.88 | ↓ -64% |
| United Healthcare | Medicare | $633.73 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $639.59 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $639.65 | ↓ -63% |
| AmeriHealth Caritas | Medicare | $639.65 | ↓ -63% |
| Cigna | Medicare | $639.65 | ↓ -63% |
| Independent Health | Medicare Advantage | $700.71 | ↓ -60% |
| Aetna | Commercial | $729.00 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $747.37 | ↓ -57% |
| BCBS of Western NY | Commercial | $844.49 | ↓ -52% |
| Cigna | NBR ASO/FI | $874.80 | ↓ -50% |
| Cigna | New Business ASO | $874.80 | ↓ -50% |
| Independent Health | Commercial | $933.20 | ↓ -47% |
| Univera | Commercial | $962.28 | ↓ -45% |
| Cigna | EBR | $1,166.40 | ↓ -33% |
| Cigna | Commercial | $1,166.40 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $1,195.78 | ↓ -32% |
| United Healthcare | Commercial | $1,325.32 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $1,895.40 | ↑ +8% |
| Aetna | AXA/MMO | $2,041.20 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,041.20 | ↑ +17% |
| InterGroup | Beech Street | $2,332.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,332.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Kidney imag w/bld flow multi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $927.60 | $185.64 – $1,236.80 |
| UPMC Carlisle | Carlisle | $1,574.40 | $34.66 – $823.87 |
| UPMC Community Osteopathic | Harrisburg | $1,574.40 | $50.60 – $771.06 |
| UPMC East | Monroeville | $2,274.60 | $249.69 – $3,032.80 |
| UPMC Hanover | Hanover | $1,574.40 | $243.19 – $822.74 |
| UPMC Horizon-Greenville | Greenville | $933.00 | $262.35 – $554.23 |
| UPMC Lititz | Lititz | $1,574.40 | $243.19 – $827.18 |
| UPMC Magee | Pittsburgh | $1,094.40 | $249.69 – $554.23 |