Rmvl icd by tv extr at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,372.00
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.
$5,620.00
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.
$843.00 with Univera vs $19,018.35 with UPMC Health Plan — 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 | $843.00 | ↓ -75% |
| Aetna | Commercial | $1,405.00 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,598.33 | ↓ -53% |
| Cigna | NBR ASO/FI | $1,686.00 | ↓ -50% |
| Cigna | New Business ASO | $1,686.00 | ↓ -50% |
| Univera | Commercial | $1,854.60 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $1,943.81 | ↓ -42% |
| Cigna | Commercial | $2,248.00 | ↓ -33% |
| Cigna | EBR | $2,248.00 | ↓ -33% |
| United Healthcare | Commercial | $2,608.00 | ↓ -23% |
| Geisinger | Medicaid/CHIP | $3,091.00 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,091.00 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $3,653.00 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,934.00 | ↑ +17% |
| Aetna | AXA/MMO | $3,934.00 | ↑ +17% |
| Fidelis | Medicare | $4,004.39 | ↑ +19% |
| BCBS of Western NY | Commercial | $4,042.00 | ↑ +20% |
| Aetna | Medicare | $4,084.48 | ↑ +21% |
| UPMC Health Plan | Partners/Select | $4,087.68 | ↑ +21% |
| Wellcare | Medicare Advantage | $4,124.52 | ↑ +22% |
| BCBS of Western NY | Medicare Advantage | $4,204.61 | ↑ +25% |
| United Healthcare | Medicare | $4,284.70 | ↑ +27% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,324.34 | ↑ +28% |
| AmeriHealth Caritas | Medicare | $4,324.74 | ↑ +28% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4,324.74 | ↑ +28% |
| Cigna | Medicare | $4,324.74 | ↑ +28% |
| InterGroup | Beech Street | $4,496.00 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,496.00 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $4,829.72 | ↑ +43% |
| Independent Health | Medicare Advantage | $5,046.33 | ↑ +50% |
| Independent Health | Commercial | $5,733.77 | ↑ +70% |
| Highmark BCBS of PA | UPMC Emergent | $7,727.48 | ↑ +129% |
| UPMC Health Plan | Commercial | $19,018.35 | ↑ +464% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd by tv extr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,798.40 | $1,598.33 – $3,747.21 |
| UPMC Carlisle | Carlisle | $4,589.40 | $1,016.56 – $6,501.65 |
| UPMC Community Osteopathic | Harrisburg | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Hanover | Hanover | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Lititz | Lititz | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Memorial | York | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Mercy | Pittsburgh | $4,519.80 | $1,598.33 – $3,816.60 |
| UPMC Passavant-McCandless | Pittsburgh | $3,049.80 | $1,613.55 – $3,816.60 |