Kit tissue closure sealant adhesive air leak progel 4 ml pleura at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,245.60
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.
$7,076.00
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.
$176.62 with Highmark BCBS of PA vs $2,292.00 with InterGroup — 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 | $176.62 | ↓ -96% |
| Univera | Univera_Medicare_Hamot_2024 | $429.75 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $533.71 | ↓ -87% |
| Aetna | Commercial | $716.25 | ↓ -83% |
| Highmark BCBS of PA | UPMC Emergent | $853.93 | ↓ -80% |
| Cigna | NBR ASO/FI | $859.50 | ↓ -80% |
| Cigna | New Business ASO | $859.50 | ↓ -80% |
| Univera | Commercial | $945.45 | ↓ -78% |
| BCBS of Western NY | Commercial | $1,002.75 | ↓ -76% |
| UPMC Health Plan | Commercial | $1,054.32 | ↓ -75% |
| Cigna | EBR | $1,146.00 | ↓ -73% |
| Cigna | Commercial | $1,146.00 | ↓ -73% |
| Aetna | Medicare | $1,146.00 | ↓ -73% |
| United Healthcare | Commercial | $1,302.14 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,432.50 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $1,575.75 | ↓ -63% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,575.75 | ↓ -63% |
| InterGroup | Health Coalition Partners/PPO | $1,862.25 | ↓ -56% |
| Aetna | AXA/MMO | $2,005.50 | ↓ -53% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,005.50 | ↓ -53% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,292.00 | ↓ -46% |
| InterGroup | Beech Street | $2,292.00 | ↓ -46% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Kit tissue closure sealant adhesive air leak progel 4 ml pleura at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,489.00 | $176.62 – $4,652.00 |
| UPMC East | Monroeville | $4,897.20 | $178.31 – $2,292.00 |
| UPMC Magee | Pittsburgh | $1,621.80 | $178.31 – $595.28 |
| UPMC Mercy | Pittsburgh | $3,480.00 | $176.62 – $470.06 |
| UPMC Passavant-McCandless | Pittsburgh | $3,676.80 | $178.31 – $863.83 |
| UPMC Presbyterian | Pittsburgh | $4,799.40 | $178.31 – $962.46 |