healthcosts.net
Nuclear Stress Test (Heart) at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$5,989.20
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.
$9,982.00
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.
$374.88 with UPMC Health Plan vs $7,985.60 with InterGroup — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $374.88 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $391.92 | ↓ -93% |
| Aetna | Medicaid | $408.96 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $473.68 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $505.41 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $513.93 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $516.93 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $532.02 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $551.13 | ↓ -91% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $580.79 | ↓ -90% |
| BCBS of Western NY | Commercial | $1,091.26 | ↓ -82% |
| UPMC Health Plan | Commercial | $1,233.07 | ↓ -79% |
| Fidelis | Medicare | $1,436.45 | ↓ -76% |
| Aetna | Medicare | $1,465.18 | ↓ -76% |
| UPMC Health Plan | Partners/Select | $1,466.33 | ↓ -76% |
| Wellcare | Medicare Advantage | $1,479.54 | ↓ -75% |
| Univera | Univera_Medicare_Hamot_2024 | $1,497.30 | ↓ -75% |
| BCBS of Western NY | Medicare Advantage | $1,508.27 | ↓ -75% |
| United Healthcare | Medicare | $1,537.00 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,551.22 | ↓ -74% |
| AmeriHealth Caritas | Medicare | $1,551.37 | ↓ -74% |
| Cigna | Medicare | $1,551.37 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,551.37 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,562.03 | ↓ -74% |
| Independent Health | Medicare Advantage | $1,888.73 | ↓ -68% |
| Aetna | Commercial | $2,495.50 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $2,499.23 | ↓ -58% |
| Independent Health | Commercial | $2,515.39 | ↓ -58% |
| Cigna | NBR ASO/FI | $2,994.60 | ↓ -50% |
| Cigna | New Business ASO | $2,994.60 | ↓ -50% |
| Univera | Commercial | $3,294.06 | ↓ -45% |
| Cigna | EBR | $3,992.80 | ↓ -33% |
| Cigna | Commercial | $3,992.80 | ↓ -33% |
| United Healthcare | Commercial | $4,536.82 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $6,488.30 | ↑ +8% |
| Aetna | AXA/MMO | $6,987.40 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,987.40 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $7,985.60 | ↑ +33% |
| InterGroup | Beech Street | $7,985.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nuclear Stress Test (Heart) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $4,751.40 | $374.88 – $6,335.20 |
| UPMC Passavant-McCandless | Pittsburgh | $5,215.80 | $374.88 – $7,389.05 |
| UPMC Carlisle | Carlisle | $4,242.60 | $364.63 – $6,010.35 |
| UPMC Altoona | Altoona | $2,538.00 | $278.34 – $3,384.00 |
| UPMC Bedford | Everett | $4,323.60 | $357.84 – $6,485.40 |
| UPMC Cole | Coudersport | $1,858.20 | $357.84 – $2,477.60 |
| UPMC Community Osteopathic | Harrisburg | $4,242.60 | $121.00 – $2,469.32 |
| UPMC Hanover | Hanover | $4,242.60 | $364.63 – $6,151.77 |