Sling suprapubic suburetheral at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,768.80
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.
$7,948.00
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.
$519.30 with Univera vs $4,280.95 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $519.30 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $553.92 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $657.78 | ↓ -86% |
| Aetna | Commercial | $865.50 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $885.46 | ↓ -81% |
| Cigna | New Business ASO | $1,038.60 | ↓ -78% |
| Cigna | NBR ASO/FI | $1,038.60 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,142.46 | ↓ -76% |
| Univera | Commercial | $1,142.46 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $1,142.46 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,171.19 | ↓ -75% |
| BCBS of Western NY | Commercial | $1,211.70 | ↓ -75% |
| UPMC Health Plan | Commercial | $1,274.02 | ↓ -73% |
| Cigna | Commercial | $1,384.80 | ↓ -71% |
| Aetna | Medicare | $1,384.80 | ↓ -71% |
| Cigna | EBR | $1,384.80 | ↓ -71% |
| United Healthcare | Commercial | $1,573.48 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,731.00 | ↓ -64% |
| InterGroup | Health Coalition Partners/PPO | $2,250.30 | ↓ -53% |
| Aetna | AXA/MMO | $2,423.40 | ↓ -49% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,423.40 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,675.62 | ↓ -44% |
| InterGroup | Beech Street | $2,769.60 | ↓ -42% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,769.60 | ↓ -42% |
| Highmark BCBS of PA | UPMC Emergent | $4,280.95 | ↓ -10% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Sling suprapubic suburetheral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $13,321.80 | $885.46 – $4,948.80 |
| UPMC Bedford | Everett | $3,422.40 | $1,083.76 – $5,133.60 |
| UPMC Cole | Coudersport | $2,908.80 | $921.12 – $3,878.40 |
| UPMC East | Monroeville | $3,870.00 | $543.78 – $4,016.99 |
| UPMC Northwest | Seneca | $3,137.40 | $2,298.10 – $4,860.92 |
| UPMC Horizon-Greenville | Greenville | $4,053.60 | $2,256.66 – $4,016.99 |
| UPMC Jameson | New Castle | $1,707.60 | $87.91 – $4,016.99 |
| UPMC Magee | Pittsburgh | $6,976.80 | $96.70 – $4,016.99 |