Ot therapeutic activities direct patient contact each 15 minutes at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$80.40
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.
$134.00
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.
$14.30 with UPMC Health Plan vs $139.00 with United Healthcare — 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 | $14.30 | ↓ -82% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $14.95 | ↓ -81% |
| Aetna | Medicaid | $15.60 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $18.07 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.28 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.60 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $20.10 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20.29 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $20.39 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $22.15 | ↓ -72% |
| Aetna | Commercial | $33.50 | ↓ -58% |
| UPMC Health Plan | Commercial | $35.85 | ↓ -55% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $37.54 | ↓ -53% |
| Cigna | New Business ASO | $40.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $40.20 | ↓ -50% |
| Univera | Commercial | $44.22 | ↓ -45% |
| Independent Health | Medicare Advantage | $45.89 | ↓ -43% |
| Independent Health | Commercial | $48.94 | ↓ -39% |
| Cigna | Commercial | $53.60 | ↓ -33% |
| Aetna | Medicare | $53.60 | ↓ -33% |
| Cigna | EBR | $53.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $61.62 | ↓ -23% |
| UPMC Work Partners | Workers Comp | $61.80 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $67.00 | ↓ -17% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $84.47 | ↑ +5% |
| Fidelis | Essential Plan | $84.47 | ↑ +5% |
| InterGroup | Health Coalition Partners/PPO | $87.10 | ↑ +8% |
| Aetna | AXA/MMO | $93.80 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $93.80 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $98.59 | ↑ +23% |
| BCBS of Western NY | Commercial | $100.11 | ↑ +25% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $107.20 | ↑ +33% |
| InterGroup | Beech Street | $107.20 | ↑ +33% |
| United Healthcare | Commercial | $139.00 | ↑ +73% |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $113.40 | $13.00 – $151.20 |
| UPMC Bedford | Everett | $75.00 | $13.65 – $112.50 |
| UPMC Carlisle | Carlisle | $80.40 | $11.37 – $387.00 |
| UPMC Cole | Coudersport | $81.00 | $13.65 – $108.00 |
| UPMC Community Osteopathic | Harrisburg | $80.40 | $16.51 – $71.79 |
| UPMC East | Monroeville | $70.20 | $14.30 – $93.60 |
| UPMC Northwest | Seneca | $63.60 | $14.30 – $60.41 |
| UPMC Hanover | Hanover | $80.40 | $16.51 – $148.00 |