Lead acuity x4 spiral l 86cm at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$11,832.00
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.
$19,720.00
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.
$858.60 with Univera vs $11,227.93 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 | $858.60 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $915.84 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,087.56 | ↓ -91% |
| Aetna | Commercial | $1,431.00 | ↓ -88% |
| Cigna | New Business ASO | $1,717.20 | ↓ -85% |
| Cigna | NBR ASO/FI | $1,717.20 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,888.92 | ↓ -84% |
| Univera | Commercial | $1,888.92 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $1,888.92 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,936.43 | ↓ -84% |
| BCBS of Western NY | Commercial | $2,003.40 | ↓ -83% |
| UPMC Health Plan | Commercial | $2,106.43 | ↓ -82% |
| Cigna | EBR | $2,289.60 | ↓ -81% |
| Cigna | Commercial | $2,289.60 | ↓ -81% |
| Aetna | Medicare | $2,289.60 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,322.35 | ↓ -80% |
| United Healthcare | Commercial | $2,601.56 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,862.00 | ↓ -76% |
| InterGroup | Health Coalition Partners/PPO | $3,720.60 | ↓ -69% |
| Aetna | AXA/MMO | $4,006.80 | ↓ -66% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,006.80 | ↓ -66% |
| InterGroup | Beech Street | $4,579.20 | ↓ -61% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,579.20 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $7,017.52 | ↓ -41% |
| Highmark BCBS of PA | UPMC Emergent | $11,227.93 | ↓ -5% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Lead acuity x4 spiral l 86cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,226.60 | $2,322.35 – $12,016.70 |
| UPMC Community Osteopathic | Harrisburg | $9,999.00 | $3,333.00 – $14,165.25 |
| UPMC East | Monroeville | $11,235.60 | $2,344.46 – $14,980.80 |
| UPMC Memorial | York | $9,999.00 | $98.84 – $12,016.70 |
| UPMC Mercy | Pittsburgh | $7,381.80 | $2,322.35 – $9,488.90 |
| UPMC Passavant-McCandless | Pittsburgh | $13,576.80 | $2,344.46 – $17,437.74 |
| UPMC Presbyterian | Pittsburgh | $27,605.40 | $2,344.46 – $19,428.86 |
| UPMC Somerset | Somerset | $9,999.00 | $2,298.86 – $7,197.58 |