Mitomycin instillation at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$885.60
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.
$1,107.00
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.
$166.05 with Univera vs $885.60 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $166.05 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $201.12 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $210.66 | ↓ -76% |
| Aetna | Commercial | $276.75 | ↓ -69% |
| Independent Health | Commercial | $280.53 | ↓ -68% |
| Independent Health | Medicare Advantage | $280.53 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $313.50 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $318.53 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $318.53 | ↓ -64% |
| Fidelis | Medicare | $318.53 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $318.53 | ↓ -64% |
| Aetna | Medicare | $324.90 | ↓ -63% |
| UPMC Health Plan | Partners/Select | $325.16 | ↓ -63% |
| Wellcare | Medicare Advantage | $328.09 | ↓ -63% |
| Cigna | New Business ASO | $332.10 | ↓ -63% |
| Cigna | NBR ASO/FI | $332.10 | ↓ -63% |
| BCBS of Western NY | Medicare Advantage | $334.46 | ↓ -62% |
| United Healthcare | Medicare | $340.83 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $343.98 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $344.01 | ↓ -61% |
| Cigna | Medicare | $344.01 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $344.01 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $348.84 | ↓ -61% |
| Univera | Commercial | $365.31 | ↓ -59% |
| BCBS of Western NY | Commercial | $387.45 | ↓ -56% |
| UPMC Health Plan | Commercial | $407.38 | ↓ -54% |
| Cigna | EBR | $442.80 | ↓ -50% |
| Cigna | Commercial | $442.80 | ↓ -50% |
| United Healthcare | Commercial | $503.13 | ↓ -43% |
| Highmark BCBS of PA | UPMC Emergent | $558.14 | ↓ -37% |
| InterGroup | Health Coalition Partners/PPO | $719.55 | ↓ -19% |
| Multiplan | PPO (Includes PHCS as a Payer) | $774.90 | ↓ -13% |
| Aetna | AXA/MMO | $774.90 | ↓ -13% |
| InterGroup | Beech Street | $885.60 | ↑ +0% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $885.60 | ↑ +0% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Mitomycin instillation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $14,202.00 | $315.34 – $20,119.50 |
| UPMC Cole | Coudersport | $3,525.00 | $318.53 – $4,700.00 |
| UPMC Community Osteopathic | Harrisburg | $14,202.00 | $315.34 – $20,119.50 |
| UPMC Hanover | Hanover | $14,202.00 | $315.34 – $509.65 |
| UPMC Lititz | Lititz | $14,202.00 | $315.34 – $509.65 |
| UPMC Magee | Pittsburgh | $51,491.40 | $201.12 – $344.01 |
| UPMC Memorial | York | $14,202.00 | $171.69 – $509.65 |
| UPMC Passavant-McCandless | Pittsburgh | $54,580.80 | $201.12 – $350.38 |