Nerve teasing preparations at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$388.80
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.
$648.00
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.
$60.45 with United Healthcare vs $1,242.08 with Independent Health — 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 |
|---|---|---|---|
| United Healthcare | Commercial | $60.45 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $69.43 | ↓ -82% |
| UPMC Health Plan | Commercial | $95.08 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $97.20 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $130.16 | ↓ -67% |
| UPMC Health Plan | Managed Medicaid | $143.18 | ↓ -63% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $149.68 | ↓ -62% |
| Aetna | Medicaid | $156.19 | ↓ -60% |
| Aetna | Commercial | $162.00 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $180.91 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicaid | $193.03 | ↓ -50% |
| Cigna | NBR ASO/FI | $194.40 | ↓ -50% |
| Cigna | New Business ASO | $194.40 | ↓ -50% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $203.19 | ↓ -48% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $209.79 | ↓ -46% |
| Univera | Commercial | $213.84 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $221.82 | ↓ -43% |
| Cigna | EBR | $259.20 | ↓ -33% |
| Cigna | Commercial | $259.20 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $335.66 | ↓ -14% |
| InterGroup | Health Coalition Partners/PPO | $421.20 | ↑ +8% |
| Aetna | AXA/MMO | $453.60 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $453.60 | ↑ +17% |
| BCBS of Western NY | Commercial | $457.74 | ↑ +18% |
| InterGroup | Beech Street | $518.40 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $518.40 | ↑ +33% |
| Fidelis | Medicare | $898.85 | ↑ +131% |
| Aetna | Medicare | $916.83 | ↑ +136% |
| UPMC Health Plan | Partners/Select | $917.55 | ↑ +136% |
| Wellcare | Medicare Advantage | $925.82 | ↑ +138% |
| Independent Health | Medicare Advantage | $932.64 | ↑ +140% |
| BCBS of Western NY | Medicare Advantage | $943.79 | ↑ +143% |
| United Healthcare | Medicare | $961.77 | ↑ +147% |
| Highmark Wholecare (prev Gateway) | Medicare | $970.67 | ↑ +150% |
| AmeriHealth Caritas | Medicare | $970.76 | ↑ +150% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $970.76 | ↑ +150% |
| Cigna | Medicare | $970.76 | ↑ +150% |
| Independent Health | Commercial | $1,242.08 | ↑ +219% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nerve teasing preparations at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $319.80 | $30.80 – $426.40 |
| UPMC East | Monroeville | $451.80 | $52.38 – $817.76 |
| UPMC McKeesport | Mckeesport | $304.80 | $53.76 – $856.70 |
| UPMC Mercy | Pittsburgh | $356.40 | $52.53 – $856.70 |
| UPMC Passavant-McCandless | Pittsburgh | $159.60 | $52.84 – $856.70 |
| UPMC Presbyterian | Pittsburgh | $4,494.00 | $36.96 – $856.70 |
| UPMC St. Margaret | Pittsburgh | $204.00 | $52.97 – $856.70 |
| UPMC Wellsboro | Wellsboro | $1,171.20 | $39.42 – $221.82 |