Mopath procedure level 1 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,253.40
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.
?
What you pay up front if you don't use insurance.
$2,089.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$63.21 with UPMC Work Partners vs $923.66 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $63.21 | ↓ -95% |
| United Healthcare | Commercial | $63.96 | ↓ -95% |
| Fidelis | Medicare | $63.96 | ↓ -95% |
| Aetna | Medicare | $65.24 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $65.29 | ↓ -95% |
| Wellcare | Medicare Advantage | $65.88 | ↓ -95% |
| Independent Health | Medicare Advantage | $65.88 | ↓ -95% |
| Independent Health | Commercial | $65.88 | ↓ -95% |
| BCBS of Western NY | Medicare Advantage | $67.16 | ↓ -95% |
| United Healthcare | Medicare | $68.44 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $69.07 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.08 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $69.08 | ↓ -94% |
| Cigna | Medicare | $69.08 | ↓ -94% |
| Univera | Univera_Medicare_Hamot_2024 | $80.40 | ↓ -94% |
| Aetna | Commercial | $134.00 | ↓ -89% |
| BCBS of Western NY | Commercial | $134.81 | ↓ -89% |
| UPMC Health Plan | Commercial | $154.95 | ↓ -88% |
| Cigna | NBR ASO/FI | $160.80 | ↓ -87% |
| Cigna | New Business ASO | $160.80 | ↓ -87% |
| Univera | Commercial | $176.88 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $191.05 | ↓ -85% |
| Cigna | EBR | $214.40 | ↓ -83% |
| Cigna | Commercial | $214.40 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $294.80 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $294.80 | ↓ -76% |
| InterGroup | Health Coalition Partners/PPO | $348.40 | ↓ -72% |
| Multiplan | PPO (Includes PHCS as a Payer) | $375.20 | ↓ -70% |
| Aetna | AXA/MMO | $375.20 | ↓ -70% |
| InterGroup | Beech Street | $428.80 | ↓ -66% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $428.80 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $577.29 | ↓ -54% |
| Highmark BCBS of PA | UPMC Emergent | $923.66 | ↓ -26% |
Visitor-reported prices
Comments
Mopath procedure level 1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $621.00 | $63.21 – $387.20 |
| UPMC Bedford | Everett | $639.00 | $23.08 – $457.20 |
| UPMC Carlisle | Carlisle | $138.60 | $29.87 – $185.30 |
| UPMC Community Osteopathic | Harrisburg | $138.60 | $43.60 – $310.30 |
| UPMC East | Monroeville | $1,253.40 | $63.21 – $406.40 |
| UPMC Northwest | Seneca | $837.60 | $58.01 – $69.08 |
| UPMC Hanover | Hanover | $138.60 | $51.12 – $310.30 |
| UPMC Horizon-Greenville | Greenville | $1,476.00 | $57.26 – $120.02 |