healthcosts.net
Sleep Study (Polysomnography) at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,098.80
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.
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What you pay up front if you don't use insurance.
$3,498.00
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.
$281.14 with BCBS of Western NY vs $2,798.40 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 |
|---|---|---|---|
| BCBS of Western NY | Commercial | $281.14 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $381.22 | ↓ -82% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $398.54 | ↓ -81% |
| Aetna | Medicaid | $415.87 | ↓ -80% |
| UPMC Health Plan | Commercial | $471.50 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $481.68 | ↓ -77% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $504.55 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $513.95 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $522.61 | ↓ -75% |
| Univera | Univera_Medicare_Hamot_2024 | $524.70 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $541.01 | ↓ -74% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $590.61 | ↓ -72% |
| Aetna | Commercial | $874.50 | ↓ -58% |
| Cigna | NBR ASO/FI | $1,049.40 | ↓ -50% |
| Cigna | New Business ASO | $1,049.40 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $1,069.07 | ↓ -49% |
| Univera | Commercial | $1,154.34 | ↓ -45% |
| Independent Health | Medicare Advantage | $1,349.45 | ↓ -36% |
| Aetna | Medicare | $1,399.20 | ↓ -33% |
| Cigna | Commercial | $1,399.20 | ↓ -33% |
| Cigna | EBR | $1,399.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,524.62 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,749.00 | ↓ -17% |
| Independent Health | Commercial | $1,797.19 | ↓ -14% |
| InterGroup | Health Coalition Partners/PPO | $2,273.70 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $2,439.38 | ↑ +16% |
| Aetna | AXA/MMO | $2,448.60 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,448.60 | ↑ +17% |
| InterGroup | Beech Street | $2,798.40 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,798.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Sleep Study (Polysomnography) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,373.60 | $381.22 – $11,862.60 |
| UPMC Carlisle | Carlisle | $4,279.20 | $354.12 – $5,320.15 |
| UPMC Altoona | Altoona | $2,265.00 | $270.32 – $3,020.00 |
| UPMC Bedford | Everett | $3,163.20 | $349.96 – $4,744.80 |
| UPMC Hanover | Hanover | $4,279.20 | $354.12 – $5,445.33 |
| UPMC Horizon-Greenville | Greenville | $3,986.40 | $363.89 – $5,647.40 |
| UPMC Lititz | Lititz | $4,279.20 | $354.12 – $5,320.15 |
| UPMC Magee | Pittsburgh | $8,373.60 | $381.22 – $12,839.52 |