Prim art mech thrmbc non-intracranial at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$10,990.20
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.
$18,317.00
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.
$2,747.55 with Univera vs $25,188.11 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $2,747.55 | ↓ -75% |
| United Healthcare | Commercial | $2,849.00 | ↓ -74% |
| Aetna | Commercial | $4,579.25 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $4,703.49 | ↓ -57% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5,209.83 | ↓ -53% |
| Cigna | New Business ASO | $5,495.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $5,495.10 | ↓ -50% |
| BCBS of Western NY | Commercial | $5,610.03 | ↓ -49% |
| Univera | Commercial | $6,044.61 | ↓ -45% |
| UPMC Health Plan | Commercial | $7,188.57 | ↓ -35% |
| Cigna | EBR | $7,326.80 | ↓ -33% |
| Cigna | Commercial | $7,326.80 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10,074.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $10,074.35 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $11,906.05 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $12,821.90 | ↑ +17% |
| Aetna | AXA/MMO | $12,821.90 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $14,653.60 | ↑ +33% |
| InterGroup | Beech Street | $14,653.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $15,742.71 | ↑ +43% |
| Independent Health | Commercial | $18,163.82 | ↑ +65% |
| Fidelis | Medicare | $19,758.14 | ↑ +80% |
| Aetna | Medicare | $20,153.30 | ↑ +83% |
| UPMC Health Plan | Partners/Select | $20,169.11 | ↑ +84% |
| Wellcare | Medicare Advantage | $20,350.88 | ↑ +85% |
| BCBS of Western NY | Medicare Advantage | $20,746.05 | ↑ +89% |
| United Healthcare | Medicare | $21,141.21 | ↑ +92% |
| Highmark Wholecare (prev Gateway) | Medicare | $21,336.82 | ↑ +94% |
| Cigna | Medicare | $21,338.79 | ↑ +94% |
| AmeriHealth Caritas | Medicare | $21,338.79 | ↑ +94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21,338.79 | ↑ +94% |
| Independent Health | Medicare Advantage | $24,899.21 | ↑ +127% |
| Highmark BCBS of PA | UPMC Emergent | $25,188.11 | ↑ +129% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Prim art mech thrmbc non-intracranial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,342.40 | $4,703.49 – $18,489.15 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $27,484.42 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $21,811.80 | $4,703.49 – $29,082.40 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $27,446.48 |
| UPMC Lititz | Lititz | $17,281.80 | $1,016.56 – $27,594.74 |
| UPMC Magee | Pittsburgh | $24,655.20 | $3,584.88 – $18,831.54 |
| UPMC Memorial | York | $17,281.80 | $1,016.56 – $27,549.92 |