St treatment swallow dysfunction/oral at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$316.20
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.
$527.00
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.
$77.72 with Independent Health vs $696.66 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 |
|---|---|---|---|
| Independent Health | Medicare Advantage | $77.72 | ↓ -75% |
| Univera | Univera_Medicare_Hamot_2024 | $79.05 | ↓ -75% |
| Independent Health | Commercial | $82.86 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $89.57 | ↓ -72% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $109.20 | ↓ -65% |
| UPMC Health Plan | Commercial | $131.18 | ↓ -59% |
| Aetna | Commercial | $131.75 | ↓ -58% |
| United Healthcare | Commercial | $139.00 | ↓ -56% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $144.09 | ↓ -54% |
| Cigna | New Business ASO | $158.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $158.10 | ↓ -50% |
| Univera | Commercial | $173.91 | ↓ -45% |
| BCBS of Western NY | Commercial | $195.96 | ↓ -38% |
| Cigna | Commercial | $210.80 | ↓ -33% |
| Aetna | Medicare | $210.80 | ↓ -33% |
| Cigna | EBR | $210.80 | ↓ -33% |
| Fidelis | Essential Plan | $245.70 | ↓ -22% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $245.70 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $263.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $289.85 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $289.85 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $342.55 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $368.90 | ↑ +17% |
| Aetna | AXA/MMO | $368.90 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $421.60 | ↑ +33% |
| InterGroup | Beech Street | $421.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $435.41 | ↑ +38% |
| Highmark BCBS of PA | UPMC Emergent | $696.66 | ↑ +120% |
Visitor-reported prices
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St treatment swallow dysfunction/oral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $199.20 | $82.99 – $265.60 |
| UPMC Bedford | Everett | $362.40 | $82.99 – $543.60 |
| UPMC Carlisle | Carlisle | $384.60 | $46.31 – $387.00 |
| UPMC Cole | Coudersport | $272.40 | $82.99 – $363.20 |
| UPMC Community Osteopathic | Harrisburg | $384.60 | $62.54 – $900.95 |
| UPMC East | Monroeville | $316.20 | $89.57 – $421.60 |
| UPMC Northwest | Seneca | $130.20 | $84.21 – $373.98 |
| UPMC Hanover | Hanover | $384.60 | $62.54 – $262.70 |