Prq tcat plmt ntrac st 1 les at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$26,818.20
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.
$44,697.00
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.
$859.73 with UPMC Work Partners vs $35,757.60 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 Work Partners | Workers Comp | $859.73 | ↓ -97% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,630.20 | ↓ -90% |
| United Healthcare | Commercial | $2,849.00 | ↓ -89% |
| UPMC Health Plan | Commercial | $4,474.35 | ↓ -83% |
| BCBS of Western NY | Commercial | $5,610.03 | ↓ -79% |
| Univera | Univera_Medicare_Hamot_2024 | $6,704.55 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $7,947.77 | ↓ -70% |
| Aetna | Commercial | $11,174.25 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $12,716.32 | ↓ -53% |
| Cigna | New Business ASO | $13,409.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $13,409.10 | ↓ -50% |
| Univera | Commercial | $14,750.01 | ↓ -45% |
| Cigna | Commercial | $17,878.80 | ↓ -33% |
| Aetna | Medicare | $17,878.80 | ↓ -33% |
| Cigna | EBR | $17,878.80 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $22,348.50 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $24,583.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $24,583.35 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $29,053.05 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $31,287.90 | ↑ +17% |
| Aetna | AXA/MMO | $31,287.90 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $35,757.60 | ↑ +33% |
| InterGroup | Beech Street | $35,757.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Prq tcat plmt ntrac st 1 les at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,182.60 | $859.73 – $13,576.80 |
| UPMC Carlisle | Carlisle | $15,411.00 | $899.72 – $21,832.25 |
| UPMC Community Osteopathic | Harrisburg | $15,411.00 | $899.72 – $21,832.25 |
| UPMC East | Monroeville | $24,012.00 | $859.73 – $32,016.00 |
| UPMC Hanover | Hanover | $15,411.00 | $899.72 – $17,333.84 |
| UPMC Jameson | New Castle | $11,407.20 | $562.82 – $5,522.86 |
| UPMC Lititz | Lititz | $15,411.00 | $899.72 – $17,427.46 |
| UPMC McKeesport | Mckeesport | $23,637.00 | $619.10 – $8,960.22 |