Rmvl pm gen w/rplc pm gen mlt lead sys at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$9,586.80
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.
$15,978.00
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.
$466.50 with Highmark BCBS of PA vs $31,949.62 with Independent Health — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $466.50 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $540.01 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,409.65 | ↓ -85% |
| Highmark BCBS of PA | UPMC Emergent | $2,255.42 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $2,396.70 | ↓ -75% |
| United Healthcare | Commercial | $3,411.00 | ↓ -64% |
| Aetna | Commercial | $3,994.50 | ↓ -58% |
| Cigna | New Business ASO | $4,793.40 | ↓ -50% |
| Cigna | NBR ASO/FI | $4,793.40 | ↓ -50% |
| Univera | Commercial | $5,272.74 | ↓ -45% |
| BCBS of Western NY | Commercial | $5,610.03 | ↓ -41% |
| UPMC Health Plan | Commercial | $5,879.90 | ↓ -39% |
| Cigna | EBR | $6,391.20 | ↓ -33% |
| Cigna | Commercial | $6,391.20 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8,787.90 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $8,787.90 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $10,385.70 | ↑ +8% |
| Aetna | AXA/MMO | $11,184.60 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $11,184.60 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $12,782.40 | ↑ +33% |
| InterGroup | Beech Street | $12,782.40 | ↑ +33% |
| Fidelis | Medicare | $20,984.38 | ↑ +119% |
| Aetna | Medicare | $21,404.07 | ↑ +123% |
| UPMC Health Plan | Partners/Select | $21,420.86 | ↑ +123% |
| Wellcare | Medicare Advantage | $21,613.91 | ↑ +125% |
| BCBS of Western NY | Medicare Advantage | $22,033.60 | ↑ +130% |
| United Healthcare | Medicare | $22,453.29 | ↑ +134% |
| Highmark Wholecare (prev Gateway) | Medicare | $22,661.03 | ↑ +136% |
| Cigna | Medicare | $22,663.13 | ↑ +136% |
| AmeriHealth Caritas | Medicare | $22,663.13 | ↑ +136% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $22,663.13 | ↑ +136% |
| Independent Health | Medicare Advantage | $26,444.52 | ↑ +176% |
| Independent Health | Commercial | $31,949.62 | ↑ +233% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen mlt lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,816.40 | $466.50 – $19,636.62 |
| UPMC Carlisle | Carlisle | $27,759.00 | $565.13 – $39,325.25 |
| UPMC Community Osteopathic | Harrisburg | $27,759.00 | $565.13 – $39,325.25 |
| UPMC East | Monroeville | $30,141.60 | $470.95 – $40,188.80 |
| UPMC Hanover | Hanover | $27,759.00 | $565.13 – $29,149.89 |
| UPMC Lititz | Lititz | $27,759.00 | $400.92 – $1,016.56 |
| UPMC Memorial | York | $27,759.00 | $380.22 – $1,016.56 |
| UPMC Mercy | Pittsburgh | $29,639.40 | $466.50 – $20,000.27 |