Target gsa panel hmtlmph neop at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$9,390.00
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.
$15,650.00
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.
$89.83 with United Healthcare vs $2,459.24 with UPMC Health Plan — 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 |
|---|---|---|---|
| United Healthcare | Commercial | $89.83 | ↓ -99% |
| Univera | Univera_Medicare_Hamot_2024 | $343.50 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $453.10 | ↓ -95% |
| Aetna | Commercial | $572.50 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $607.62 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $668.38 | ↓ -93% |
| Cigna | New Business ASO | $687.00 | ↓ -93% |
| Cigna | NBR ASO/FI | $687.00 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $698.76 | ↓ -93% |
| Aetna | Medicaid | $729.14 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $750.66 | ↓ -92% |
| Univera | Commercial | $755.70 | ↓ -92% |
| Fidelis | Medicare | $759.53 | ↓ -92% |
| Aetna | Medicare | $774.72 | ↓ -92% |
| UPMC Health Plan | Partners/Select | $775.33 | ↓ -92% |
| Wellcare | Medicare Advantage | $782.32 | ↓ -92% |
| Independent Health | Commercial | $782.32 | ↓ -92% |
| Independent Health | Medicare Advantage | $782.32 | ↓ -92% |
| BCBS of Western NY | Medicare Advantage | $797.51 | ↓ -92% |
| United Healthcare | Medicare | $812.70 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $820.22 | ↓ -91% |
| Cigna | Medicare | $820.29 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $820.29 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $820.29 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $844.53 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $901.10 | ↓ -90% |
| Cigna | Commercial | $916.00 | ↓ -90% |
| Cigna | EBR | $916.00 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $948.56 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,035.51 | ↓ -89% |
| BCBS of Western NY | Commercial | $1,040.53 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,369.15 | ↓ -85% |
| InterGroup | Health Coalition Partners/PPO | $1,488.50 | ↓ -84% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,603.00 | ↓ -83% |
| Aetna | AXA/MMO | $1,603.00 | ↓ -83% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,832.00 | ↓ -80% |
| InterGroup | Beech Street | $1,832.00 | ↓ -80% |
| Highmark BCBS of PA | UPMC Emergent | $2,190.62 | ↓ -77% |
| UPMC Health Plan | Commercial | $2,459.24 | ↓ -74% |
Visitor-reported prices
Comments
Target gsa panel hmtlmph neop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,594.40 | $453.10 – $820.29 |
| UPMC Bedford | Everett | $1,353.00 | $274.04 – $2,029.50 |
| UPMC Cole | Coudersport | $3,256.20 | $53.00 – $4,341.60 |
| UPMC East | Monroeville | $3,169.80 | $330.00 – $844.53 |
| UPMC Northwest | Seneca | $7,146.00 | $668.38 – $820.29 |
| UPMC Horizon-Greenville | Greenville | $2,858.40 | $607.62 – $844.53 |
| UPMC Jameson | New Castle | $7,146.00 | $89.83 – $820.29 |
| UPMC Magee | Pittsburgh | $9,245.40 | $457.42 – $1,035.51 |