Support clav 29.6-40.5in med at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$170.40
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.
?
What you pay up front if you don't use insurance.
$284.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$42.60 with Univera vs $389.49 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $42.60 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $45.44 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $53.96 | ↓ -68% |
| Aetna | Commercial | $71.00 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $80.56 | ↓ -53% |
| Cigna | New Business ASO | $85.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $85.20 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $93.72 | ↓ -45% |
| Univera | Commercial | $93.72 | ↓ -45% |
| BCBS of Western NY | Commercial | $99.40 | ↓ -42% |
| UPMC Health Plan | Commercial | $104.51 | ↓ -39% |
| Cigna | Commercial | $113.60 | ↓ -33% |
| Aetna | Medicare | $113.60 | ↓ -33% |
| Cigna | EBR | $113.60 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $114.97 | ↓ -33% |
| United Healthcare | Commercial | $129.08 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $142.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $156.20 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $184.60 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $198.80 | ↑ +17% |
| Aetna | AXA/MMO | $198.80 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $227.20 | ↑ +33% |
| InterGroup | Beech Street | $227.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $243.43 | ↑ +43% |
| Highmark BCBS of PA | UPMC Emergent | $389.49 | ↑ +129% |
Visitor-reported prices
Comments
Support clav 29.6-40.5in med at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $180.60 | $57.19 – $299.94 |
| UPMC Bedford | Everett | $128.40 | $40.66 – $299.94 |
| UPMC Cole | Coudersport | $108.00 | $34.20 – $144.00 |
| UPMC East | Monroeville | $47.40 | $15.01 – $299.94 |
| UPMC Northwest | Seneca | $165.00 | $114.97 – $362.95 |
| UPMC Horizon-Greenville | Greenville | $128.40 | $114.97 – $299.94 |
| UPMC Jameson | New Castle | $40.80 | $36.07 – $299.94 |
| UPMC Magee | Pittsburgh | $128.40 | $39.68 – $299.94 |