Sclerotherapy fluid collection pq w/img at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,801.60
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.
$6,336.00
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.
$661.62 with Highmark BCBS of PA vs $5,068.80 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $661.62 | ↓ -83% |
| Univera | Univera_Medicare_Hamot_2024 | $950.40 | ↓ -75% |
| United Healthcare | Commercial | $1,147.00 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $1,267.18 | ↓ -67% |
| BCBS of Western NY | Commercial | $1,572.66 | ↓ -59% |
| Aetna | Commercial | $1,584.00 | ↓ -58% |
| Fidelis | Medicare | $1,782.78 | ↓ -53% |
| Aetna | Medicare | $1,818.44 | ↓ -52% |
| UPMC Health Plan | Partners/Select | $1,819.86 | ↓ -52% |
| Wellcare | Medicare Advantage | $1,836.26 | ↓ -52% |
| BCBS of Western NY | Medicare Advantage | $1,871.92 | ↓ -51% |
| Cigna | NBR ASO/FI | $1,900.80 | ↓ -50% |
| Cigna | New Business ASO | $1,900.80 | ↓ -50% |
| United Healthcare | Medicare | $1,907.57 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,925.22 | ↓ -49% |
| Cigna | Medicare | $1,925.40 | ↓ -49% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,925.40 | ↓ -49% |
| AmeriHealth Caritas | Medicare | $1,925.40 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,999.24 | ↓ -47% |
| Univera | Commercial | $2,090.88 | ↓ -45% |
| Independent Health | Medicare Advantage | $2,246.66 | ↓ -41% |
| UPMC Health Plan | Commercial | $2,331.65 | ↓ -39% |
| Cigna | EBR | $2,534.40 | ↓ -33% |
| Cigna | Commercial | $2,534.40 | ↓ -33% |
| Independent Health | Commercial | $2,565.87 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $3,198.76 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $3,484.80 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,484.80 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $4,118.40 | ↑ +8% |
| Aetna | AXA/MMO | $4,435.20 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,435.20 | ↑ +17% |
| InterGroup | Beech Street | $5,068.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $5,068.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Sclerotherapy fluid collection pq w/img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,643.60 | $603.62 – $3,745.10 |
| UPMC Community Osteopathic | Harrisburg | $2,643.60 | $881.20 – $3,745.10 |
| UPMC Hanover | Hanover | $2,643.60 | $1,198.30 – $2,476.51 |
| UPMC Lititz | Lititz | $2,643.60 | $1,198.30 – $2,489.89 |
| UPMC Magee | Pittsburgh | $2,901.00 | $667.92 – $1,699.17 |
| UPMC Memorial | York | $2,643.60 | $539.25 – $2,485.84 |
| UPMC Mercy | Pittsburgh | $2,754.60 | $661.62 – $1,699.17 |
| UPMC Passavant-McCandless | Pittsburgh | $3,621.00 | $667.92 – $1,699.17 |