Mopath procedure level 5 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$8,296.20
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.
$13,827.00
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.
$181.35 with Univera vs $2,290.74 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 | $181.35 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $271.62 | ↓ -97% |
| Fidelis | Medicare | $274.83 | ↓ -97% |
| United Healthcare | Commercial | $274.83 | ↓ -97% |
| Aetna | Medicare | $280.33 | ↓ -97% |
| UPMC Health Plan | Partners/Select | $280.55 | ↓ -97% |
| Wellcare | Medicare Advantage | $283.07 | ↓ -97% |
| Independent Health | Medicare Advantage | $283.07 | ↓ -97% |
| Independent Health | Commercial | $283.07 | ↓ -97% |
| BCBS of Western NY | Medicare Advantage | $288.57 | ↓ -97% |
| United Healthcare | Medicare | $294.07 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $296.79 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $296.82 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $296.82 | ↓ -96% |
| Cigna | Medicare | $296.82 | ↓ -96% |
| Aetna | Commercial | $302.25 | ↓ -96% |
| UPMC Health Plan | Commercial | $317.92 | ↓ -96% |
| Cigna | NBR ASO/FI | $362.70 | ↓ -96% |
| Cigna | New Business ASO | $362.70 | ↓ -96% |
| Univera | Commercial | $398.97 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $473.81 | ↓ -94% |
| Cigna | Commercial | $483.60 | ↓ -94% |
| Cigna | EBR | $483.60 | ↓ -94% |
| BCBS of Western NY | Commercial | $579.24 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $664.95 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $664.95 | ↓ -92% |
| InterGroup | Health Coalition Partners/PPO | $785.85 | ↓ -91% |
| Multiplan | PPO (Includes PHCS as a Payer) | $846.30 | ↓ -90% |
| Aetna | AXA/MMO | $846.30 | ↓ -90% |
| InterGroup | Beech Street | $967.20 | ↓ -88% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $967.20 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,431.72 | ↓ -83% |
| Highmark BCBS of PA | UPMC Emergent | $2,290.74 | ↓ -72% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,556.60 | $159.00 – $473.81 |
| UPMC Bedford | Everett | $2,934.00 | $99.16 – $3,110.40 |
| UPMC Cole | Coudersport | $1,691.40 | $53.00 – $2,255.20 |
| UPMC East | Monroeville | $3,109.80 | $175.14 – $844.80 |
| UPMC Northwest | Seneca | $3,109.80 | $176.77 – $296.82 |
| UPMC Horizon-Greenville | Greenville | $8,296.20 | $177.33 – $515.72 |
| UPMC Jameson | New Castle | $2,073.60 | $192.80 – $482.17 |
| UPMC Lititz | Lititz | $1,008.00 | $219.62 – $636.66 |