Lens iol ant bicnvx 24.0 multi at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$764.40
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.
$1,274.00
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.
$191.10 with Univera vs $1,348.02 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 | $191.10 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $242.06 | ↓ -68% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $278.82 | ↓ -64% |
| Aetna | Commercial | $318.50 | ↓ -58% |
| Cigna | New Business ASO | $382.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $382.20 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $420.42 | ↓ -45% |
| Univera | Commercial | $420.42 | ↓ -45% |
| BCBS of Western NY | Commercial | $445.90 | ↓ -42% |
| UPMC Health Plan | Commercial | $468.83 | ↓ -39% |
| Cigna | Commercial | $509.60 | ↓ -33% |
| Cigna | EBR | $509.60 | ↓ -33% |
| Aetna | Medicare | $509.60 | ↓ -33% |
| United Healthcare | Commercial | $579.03 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $637.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $700.70 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $828.10 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $842.52 | ↑ +10% |
| Aetna | AXA/MMO | $891.80 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $891.80 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,019.20 | ↑ +33% |
| InterGroup | Beech Street | $1,019.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,348.02 | ↑ +76% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Lens iol ant bicnvx 24.0 multi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $612.00 | $92.72 – $887.99 |
| UPMC Bedford | Everett | $636.60 | $84.17 – $887.99 |
| UPMC East | Monroeville | $1,898.40 | $79.80 – $887.99 |
| UPMC Northwest | Seneca | $561.00 | $723.64 – $1,074.55 |
| UPMC Horizon-Greenville | Greenville | $430.20 | $710.60 – $887.99 |
| UPMC Jameson | New Castle | $502.20 | $101.33 – $887.99 |
| UPMC Magee | Pittsburgh | $2,260.80 | $111.46 – $887.99 |
| UPMC McKeesport | Mckeesport | $712.20 | $111.46 – $887.99 |