Refill/maint pump/resvr syst at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$428.40
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.
$714.00
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.
$95.53 with UPMC Health Plan vs $571.20 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 Health Plan | Managed Medicaid | $95.53 | ↓ -78% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $99.88 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $100.38 | ↓ -77% |
| Aetna | Medicaid | $104.22 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $107.10 | ↓ -75% |
| UPMC Health Plan | Commercial | $109.42 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $120.71 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $128.80 | ↓ -70% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $130.97 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $135.58 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $148.01 | ↓ -65% |
| Highmark BCBS of PA | UPMC Emergent | $160.61 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $168.46 | ↓ -61% |
| Aetna | Commercial | $178.50 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $186.59 | ↓ -56% |
| Cigna | New Business ASO | $214.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $214.20 | ↓ -50% |
| Fidelis | Medicare | $231.83 | ↓ -46% |
| Univera | Commercial | $235.62 | ↓ -45% |
| Aetna | Medicare | $236.47 | ↓ -45% |
| UPMC Health Plan | Partners/Select | $236.65 | ↓ -45% |
| Wellcare | Medicare Advantage | $238.78 | ↓ -44% |
| BCBS of Western NY | Medicare Advantage | $243.42 | ↓ -43% |
| United Healthcare | Medicare | $248.06 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicare | $250.35 | ↓ -42% |
| Cigna | Medicare | $250.38 | ↓ -42% |
| AmeriHealth Caritas | Medicare | $250.38 | ↓ -42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $250.38 | ↓ -42% |
| Independent Health | Medicare Advantage | $272.79 | ↓ -36% |
| Cigna | Commercial | $285.60 | ↓ -33% |
| Cigna | EBR | $285.60 | ↓ -33% |
| BCBS of Western NY | Commercial | $296.86 | ↓ -31% |
| United Healthcare | Commercial | $324.51 | ↓ -24% |
| Independent Health | Commercial | $363.30 | ↓ -15% |
| InterGroup | Health Coalition Partners/PPO | $464.10 | ↑ +8% |
| Aetna | AXA/MMO | $499.80 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $499.80 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $571.20 | ↑ +33% |
| InterGroup | Beech Street | $571.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Refill/maint pump/resvr syst at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $400.20 | $95.53 – $216.94 |
| UPMC Passavant-McCandless | Pittsburgh | $423.60 | $95.53 – $220.96 |
| Uniontown Hospital | Uniontown | $350.00 | $75.66 – $428.19 |