MRI cardiac morph & func wo IV cont at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,375.00
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.
$5,625.00
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.
$265.97 with Fidelis vs $4,500.00 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 |
|---|---|---|---|
| Fidelis | Medicare | $265.97 | ↓ -92% |
| Aetna | Medicare | $271.29 | ↓ -92% |
| UPMC Health Plan | Partners/Select | $271.50 | ↓ -92% |
| Wellcare | Medicare Advantage | $273.95 | ↓ -92% |
| BCBS of Western NY | Medicare Advantage | $279.27 | ↓ -92% |
| United Healthcare | Medicare | $284.59 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $287.22 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $287.25 | ↓ -91% |
| Cigna | Medicare | $287.25 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $287.25 | ↓ -91% |
| Independent Health | Medicare Advantage | $345.98 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $378.20 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $395.39 | ↓ -88% |
| Aetna | Medicaid | $412.58 | ↓ -88% |
| Independent Health | Commercial | $460.77 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $477.88 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $509.89 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $518.48 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $536.74 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $584.85 | ↓ -83% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $585.94 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $697.19 | ↓ -79% |
| BCBS of Western NY | Commercial | $783.36 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $843.75 | ↓ -75% |
| UPMC Health Plan | Commercial | $1,071.78 | ↓ -68% |
| Aetna | Commercial | $1,406.25 | ↓ -58% |
| United Healthcare | Commercial | $1,478.00 | ↓ -56% |
| Cigna | NBR ASO/FI | $1,687.50 | ↓ -50% |
| Cigna | New Business ASO | $1,687.50 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,767.27 | ↓ -48% |
| Univera | Commercial | $1,856.25 | ↓ -45% |
| Cigna | Commercial | $2,250.00 | ↓ -33% |
| Cigna | EBR | $2,250.00 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $2,827.61 | ↓ -16% |
| InterGroup | Health Coalition Partners/PPO | $3,656.25 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,937.50 | ↑ +17% |
| Aetna | AXA/MMO | $3,937.50 | ↑ +17% |
| InterGroup | Beech Street | $4,500.00 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,500.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
MRI cardiac morph & func wo IV cont at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,652.80 | $251.71 – $4,870.40 |
| UPMC Carlisle | Carlisle | $1,656.00 | $228.92 – $2,346.00 |
| UPMC Community Osteopathic | Harrisburg | $1,656.00 | $235.40 – $2,346.00 |
| UPMC Hanover | Hanover | $1,656.00 | $228.61 – $729.62 |
| UPMC Kane | Kane | $2,448.60 | $378.20 – $770.16 |
| UPMC Lititz | Lititz | $1,656.00 | $229.84 – $729.62 |
| UPMC Memorial | York | $1,656.00 | $241.76 – $2,133.06 |
| UPMC Muncy | Muncy | $2,514.00 | $322.19 – $745.83 |