Pt therapeutic procedure >=1 area massage each 15 minutes at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$66.60
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.
$111.00
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.
$16.65 with Univera vs $139.00 with United Healthcare — 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $16.65 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $18.43 | ↓ -72% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $19.26 | ↓ -71% |
| Aetna | Medicaid | $20.10 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $23.28 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.84 | ↓ -63% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $25.26 | ↓ -62% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $25.48 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.15 | ↓ -61% |
| Aetna | Commercial | $27.75 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $28.55 | ↓ -57% |
| Cigna | NBR ASO/FI | $33.30 | ↓ -50% |
| Cigna | New Business ASO | $33.30 | ↓ -50% |
| Univera | Commercial | $36.63 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $36.74 | ↓ -45% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $37.54 | ↓ -44% |
| UPMC Health Plan | Commercial | $43.06 | ↓ -35% |
| Aetna | Medicare | $44.40 | ↓ -33% |
| Cigna | EBR | $44.40 | ↓ -33% |
| Cigna | Commercial | $44.40 | ↓ -33% |
| Independent Health | Medicare Advantage | $45.89 | ↓ -31% |
| Independent Health | Commercial | $48.94 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.50 | ↓ -17% |
| InterGroup | Health Coalition Partners/PPO | $72.15 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $77.01 | ↑ +16% |
| Aetna | AXA/MMO | $77.70 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $77.70 | ↑ +17% |
| Fidelis | Essential Plan | $84.47 | ↑ +27% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $84.47 | ↑ +27% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $88.80 | ↑ +33% |
| InterGroup | Beech Street | $88.80 | ↑ +33% |
| BCBS of Western NY | Commercial | $105.38 | ↑ +58% |
| Highmark BCBS of PA | UPMC Emergent | $123.21 | ↑ +85% |
| United Healthcare | Commercial | $139.00 | ↑ +109% |
Visitor-reported prices
Comments
Pt therapeutic procedure >=1 area massage each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $75.00 | $17.59 – $112.50 |
| UPMC Carlisle | Carlisle | $73.80 | $16.85 – $387.00 |
| UPMC Cole | Coudersport | $65.40 | $17.59 – $87.20 |
| UPMC Community Osteopathic | Harrisburg | $73.80 | $21.27 – $104.55 |
| UPMC East | Monroeville | $102.60 | $18.43 – $136.80 |
| UPMC Northwest | Seneca | $105.00 | $18.43 – $66.14 |
| UPMC Hanover | Hanover | $73.80 | $21.27 – $193.00 |
| UPMC Jameson | New Castle | $60.00 | $18.43 – $85.00 |