Neg pres wound ther drsg set at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,615.20
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.
$2,692.00
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.
$14.85 with Univera vs $197.17 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 | $14.85 | ↓ -99% |
| Aetna | Commercial | $24.75 | ↓ -98% |
| Cigna | NBR ASO/FI | $29.70 | ↓ -98% |
| Cigna | New Business ASO | $29.70 | ↓ -98% |
| Univera | Commercial | $32.67 | ↓ -98% |
| BCBS of Western NY | Commercial | $34.65 | ↓ -98% |
| UPMC Health Plan | Commercial | $36.43 | ↓ -98% |
| Cigna | EBR | $39.60 | ↓ -98% |
| Cigna | Commercial | $39.60 | ↓ -98% |
| Aetna | Medicare | $39.60 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $40.78 | ↓ -97% |
| United Healthcare | Commercial | $45.00 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $49.50 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $52.06 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $54.45 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $54.45 | ↓ -97% |
| InterGroup | Health Coalition Partners/PPO | $64.35 | ↓ -96% |
| Multiplan | PPO (Includes PHCS as a Payer) | $69.30 | ↓ -96% |
| Aetna | AXA/MMO | $69.30 | ↓ -96% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $79.20 | ↓ -95% |
| InterGroup | Beech Street | $79.20 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $123.23 | ↓ -92% |
| Highmark BCBS of PA | UPMC Emergent | $197.17 | ↓ -88% |
Visitor-reported prices
Comments
Neg pres wound ther drsg set at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,196.00 | $40.78 – $132.27 |
| UPMC East | Monroeville | $1,288.80 | $36.50 – $132.27 |
| UPMC Northwest | Seneca | $102.60 | $52.06 – $160.06 |
| UPMC Horizon-Greenville | Greenville | $1,939.20 | $52.06 – $132.27 |
| UPMC Jameson | New Castle | $1,627.80 | $19.09 – $132.27 |
| UPMC Magee | Pittsburgh | $1,406.40 | $21.00 – $132.27 |
| UPMC McKeesport | Mckeesport | $108.60 | $21.00 – $132.27 |
| UPMC Mercy | Pittsburgh | $1,422.00 | $40.78 – $104.45 |