Rpr aa hrn 1st 3-10 ncr/strn at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,600.20
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.
$2,667.00
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.
$291.37 with Highmark BCBS of PA vs $8,918.49 with Independent Health — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $291.37 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $400.05 | ↓ -75% |
| Aetna | Commercial | $666.75 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $751.37 | ↓ -53% |
| Cigna | NBR ASO/FI | $800.10 | ↓ -50% |
| Cigna | New Business ASO | $800.10 | ↓ -50% |
| Univera | Commercial | $880.11 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $880.43 | ↓ -45% |
| Cigna | EBR | $1,066.80 | ↓ -33% |
| Cigna | Commercial | $1,066.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $1,408.68 | ↓ -12% |
| Geisinger | Medicaid/CHIP | $1,466.85 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,466.85 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $1,733.55 | ↑ +8% |
| Aetna | AXA/MMO | $1,866.90 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,866.90 | ↑ +17% |
| InterGroup | Beech Street | $2,133.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,133.60 | ↑ +33% |
| United Healthcare | Commercial | $2,849.00 | ↑ +78% |
| UPMC Health Plan | Commercial | $6,087.63 | ↑ +280% |
| Fidelis | Medicare | $6,419.66 | ↑ +301% |
| Aetna | Medicare | $6,548.05 | ↑ +309% |
| UPMC Health Plan | Partners/Select | $6,553.19 | ↑ +310% |
| Wellcare | Medicare Advantage | $6,612.25 | ↑ +313% |
| BCBS of Western NY | Medicare Advantage | $6,740.64 | ↑ +321% |
| United Healthcare | Medicare | $6,869.04 | ↑ +329% |
| BCBS of Western NY | Commercial | $6,879.78 | ↑ +330% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,932.59 | ↑ +333% |
| Cigna | Medicare | $6,933.23 | ↑ +333% |
| AmeriHealth Caritas | Medicare | $6,933.23 | ↑ +333% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,933.23 | ↑ +333% |
| Independent Health | Medicare Advantage | $8,090.06 | ↑ +406% |
| Independent Health | Commercial | $8,918.49 | ↑ +457% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rpr aa hrn 1st 3-10 ncr/strn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,805.80 | $291.37 – $13,074.40 |
| UPMC Cole | Coudersport | $954.60 | $441.03 – $2,325.85 |
| UPMC East | Monroeville | $1,625.40 | $294.14 – $6,007.35 |
| UPMC Magee | Pittsburgh | $10,089.00 | $294.14 – $6,118.60 |
| UPMC Passavant-McCandless | Pittsburgh | $10,089.00 | $294.14 – $6,118.60 |
| UPMC Williamsport | Williamsport | $1,793.40 | $751.37 – $6,007.35 |
| Uniontown Hospital | Uniontown | $4,265.50 | $586.26 – $12,170.53 |
| UPMC Bedford | Everett | not published | $751.37 – $6,007.35 |