Replace g/c tube perc at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,828.40
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.
?
What you pay up front if you don't use insurance.
$4,714.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$56.21 with UPMC Health Plan vs $6,371.10 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $56.21 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $58.77 | ↓ -98% |
| Aetna | Medicaid | $61.32 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $71.02 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.78 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $77.06 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.77 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $87.08 | ↓ -97% |
| Univera | Univera_Medicare_Hamot_2024 | $707.10 | ↓ -75% |
| Fidelis | Medicare | $1,031.62 | ↓ -64% |
| Aetna | Medicare | $1,052.25 | ↓ -63% |
| UPMC Health Plan | Partners/Select | $1,053.08 | ↓ -63% |
| Wellcare | Medicare Advantage | $1,062.57 | ↓ -62% |
| BCBS of Western NY | Medicare Advantage | $1,083.20 | ↓ -62% |
| United Healthcare | Medicare | $1,103.83 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,114.05 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,114.15 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $1,114.15 | ↓ -61% |
| Cigna | Medicare | $1,114.15 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $1,150.09 | ↓ -59% |
| Aetna | Commercial | $1,178.50 | ↓ -58% |
| Independent Health | Medicare Advantage | $1,300.05 | ↓ -54% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,317.78 | ↓ -53% |
| Independent Health | Commercial | $1,412.52 | ↓ -50% |
| Cigna | New Business ASO | $1,414.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $1,414.20 | ↓ -50% |
| United Healthcare | Commercial | $1,535.00 | ↓ -46% |
| Univera | Commercial | $1,555.62 | ↓ -45% |
| BCBS of Western NY | Commercial | $1,572.66 | ↓ -44% |
| Cigna | Commercial | $1,885.60 | ↓ -33% |
| Cigna | EBR | $1,885.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,160.03 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $3,064.10 | ↑ +8% |
| Aetna | AXA/MMO | $3,299.80 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,299.80 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $3,771.20 | ↑ +33% |
| InterGroup | Beech Street | $3,771.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $3,981.97 | ↑ +41% |
| Highmark BCBS of PA | UPMC Emergent | $6,371.10 | ↑ +125% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Replace g/c tube perc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,872.20 | $51.10 – $3,829.60 |
| UPMC Bedford | Everett | $8,557.80 | $53.66 – $12,836.70 |
| UPMC Carlisle | Carlisle | $3,972.00 | $64.90 – $5,627.00 |
| UPMC Community Osteopathic | Harrisburg | $3,972.00 | $68.98 – $5,627.00 |
| UPMC East | Monroeville | $5,715.00 | $56.21 – $7,620.00 |
| UPMC Northwest | Seneca | $2,695.80 | $56.21 – $1,150.09 |
| UPMC Hanover | Hanover | $3,972.00 | $64.90 – $1,433.04 |
| UPMC Horizon-Greenville | Greenville | $5,879.40 | $56.21 – $1,677.31 |