Repair blood vessel direct hand finger at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$7,860.60
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.
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What you pay up front if you don't use insurance.
$13,101.00
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.
$726.32 with UPMC Health Plan vs $10,480.80 with Multiplan — 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 | $726.32 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $759.33 | ↓ -90% |
| Aetna | Medicaid | $792.35 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $917.74 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $979.21 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $995.72 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,030.78 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,109.02 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,125.27 | ↓ -86% |
| Univera | Univera_Medicare_Hamot_2024 | $1,965.15 | ↓ -75% |
| United Healthcare | Commercial | $2,608.00 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $2,840.55 | ↓ -64% |
| Aetna | Commercial | $3,275.25 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $3,351.15 | ↓ -57% |
| Fidelis | Medicare | $3,463.26 | ↓ -56% |
| Aetna | Medicare | $3,532.53 | ↓ -55% |
| UPMC Health Plan | Partners/Select | $3,535.30 | ↓ -55% |
| BCBS of Western NY | Commercial | $3,547.20 | ↓ -55% |
| Wellcare | Medicare Advantage | $3,567.16 | ↓ -55% |
| BCBS of Western NY | Medicare Advantage | $3,636.42 | ↓ -54% |
| United Healthcare | Medicare | $3,705.69 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,739.97 | ↓ -52% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,740.32 | ↓ -52% |
| AmeriHealth Caritas | Medicare | $3,740.32 | ↓ -52% |
| Cigna | Medicare | $3,740.32 | ↓ -52% |
| Cigna | New Business ASO | $3,930.30 | ↓ -50% |
| Cigna | NBR ASO/FI | $3,930.30 | ↓ -50% |
| Univera | Commercial | $4,323.33 | ↓ -45% |
| Independent Health | Medicare Advantage | $4,364.40 | ↓ -44% |
| Independent Health | Commercial | $5,097.31 | ↓ -35% |
| Cigna | EBR | $5,240.40 | ↓ -33% |
| Cigna | Commercial | $5,240.40 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $5,361.79 | ↓ -32% |
| UPMC Health Plan | Commercial | $7,236.13 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $8,515.65 | ↑ +8% |
| Aetna | AXA/MMO | $9,170.70 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $9,170.70 | ↑ +17% |
| InterGroup | Beech Street | $10,480.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $10,480.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Repair blood vessel direct hand finger at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,152.60 | $660.29 – $9,536.80 |
| UPMC Mercy | Pittsburgh | $5,349.60 | $726.32 – $3,300.84 |
| UPMC Presbyterian | Pittsburgh | $8,436.00 | $726.32 – $3,472.58 |
| UPMC Wellsboro | Wellsboro | $7,133.40 | $726.32 – $1,959.19 |
| UPMC Williamsport | Williamsport | $7,133.40 | $726.32 – $3,210.81 |