Nushield 1 square cm at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$321.60
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.
?
What you pay up front if you don't use insurance.
$536.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$56.69 with Highmark BCBS of PA vs $1,758.06 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $56.69 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $80.40 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $85.76 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $101.84 | ↓ -68% |
| Aetna | Commercial | $134.00 | ↓ -58% |
| Cigna | New Business ASO | $160.80 | ↓ -50% |
| Cigna | NBR ASO/FI | $160.80 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $171.31 | ↓ -47% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $176.88 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $176.88 | ↓ -45% |
| Univera | Commercial | $176.88 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $181.33 | ↓ -44% |
| BCBS of Western NY | Commercial | $187.60 | ↓ -42% |
| UPMC Health Plan | Commercial | $197.25 | ↓ -39% |
| Cigna | Commercial | $214.40 | ↓ -33% |
| Aetna | Medicare | $214.40 | ↓ -33% |
| Cigna | EBR | $214.40 | ↓ -33% |
| United Healthcare | Commercial | $243.61 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $268.00 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $274.10 | ↓ -15% |
| InterGroup | Health Coalition Partners/PPO | $348.40 | ↑ +8% |
| Aetna | AXA/MMO | $375.20 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $375.20 | ↑ +17% |
| InterGroup | Beech Street | $428.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $428.80 | ↑ +33% |
| UPMC Health Plan | Managed Medicaid | $1,758.06 | ↑ +447% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Nushield 1 square cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $907.20 | $56.69 – $416.00 |
| UPMC Bedford | Everett | $951.60 | $95.95 – $454.50 |
| UPMC Cole | Coudersport | $171.60 | $79.28 – $2,784.38 |
| UPMC Horizon-Greenville | Greenville | $1,812.60 | $113.70 – $144.49 |
| UPMC Passavant-McCandless | Pittsburgh | $2,889.00 | $57.23 – $3,424.78 |
| UPMC Presbyterian | Pittsburgh | $1,269.60 | $57.23 – $3,424.78 |
| UPMC Wellsboro | Wellsboro | $3,704.80 | $2,784.38 – $3,062.82 |
| UPMC Williamsport | Williamsport | $312.00 | $2,784.38 – $3,062.82 |