Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$262.20
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.
?
What you pay up front if you don't use insurance.
$437.00
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.
$12.92 with Highmark BCBS of PA vs $349.60 with InterGroup — 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 | $12.92 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $20.32 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $21.24 | ↓ -92% |
| Aetna | Medicaid | $22.16 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $25.67 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.39 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $27.82 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $27.85 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.83 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $31.48 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $39.04 | ↓ -85% |
| Independent Health | Medicare Advantage | $45.89 | ↓ -82% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $47.79 | ↓ -82% |
| Independent Health | Commercial | $48.94 | ↓ -81% |
| Highmark BCBS of PA | UPMC Emergent | $62.46 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $65.55 | ↓ -75% |
| BCBS of Western NY | Commercial | $94.85 | ↓ -64% |
| Fidelis | Essential Plan | $107.53 | ↓ -59% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $107.53 | ↓ -59% |
| Aetna | Commercial | $109.25 | ↓ -58% |
| Cigna | New Business ASO | $131.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $131.10 | ↓ -50% |
| United Healthcare | Commercial | $139.00 | ↓ -47% |
| UPMC Health Plan | Commercial | $141.72 | ↓ -46% |
| Univera | Commercial | $144.21 | ↓ -45% |
| Aetna | Medicare | $174.80 | ↓ -33% |
| Cigna | Commercial | $174.80 | ↓ -33% |
| Cigna | EBR | $174.80 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $218.50 | ↓ -17% |
| InterGroup | Health Coalition Partners/PPO | $284.05 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $305.90 | ↑ +17% |
| Aetna | AXA/MMO | $305.90 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $349.60 | ↑ +33% |
| InterGroup | Beech Street | $349.60 | ↑ +33% |
Visitor-reported prices
Comments
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $162.60 | $12.92 – $216.80 |
| UPMC Bedford | Everett | $123.60 | $19.39 – $185.40 |
| UPMC Carlisle | Carlisle | $114.60 | $23.46 – $387.00 |
| UPMC Community Osteopathic | Harrisburg | $114.60 | $23.46 – $162.35 |
| UPMC East | Monroeville | $307.20 | $13.04 – $409.60 |
| UPMC Northwest | Seneca | $274.80 | $20.32 – $33.53 |
| UPMC Hanover | Hanover | $114.60 | $23.46 – $193.00 |
| UPMC Horizon-Greenville | Greenville | $228.60 | $19.39 – $31.48 |