Thyroid uptake measurement at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$666.60
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.
$1,111.00
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.
$61.30 with Highmark BCBS of PA vs $914.79 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $61.30 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $67.32 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $70.38 | ↓ -89% |
| Aetna | Medicaid | $73.44 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $85.06 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $90.76 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $92.29 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $95.54 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $104.30 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $109.19 | ↓ -84% |
| Univera | Univera_Medicare_Hamot_2024 | $166.65 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $185.24 | ↓ -72% |
| BCBS of Western NY | Commercial | $185.49 | ↓ -72% |
| Aetna | Commercial | $277.75 | ↓ -58% |
| Highmark BCBS of PA | UPMC Emergent | $296.38 | ↓ -56% |
| Cigna | NBR ASO/FI | $333.30 | ↓ -50% |
| Cigna | New Business ASO | $333.30 | ↓ -50% |
| Univera | Commercial | $366.63 | ↓ -45% |
| Fidelis | Medicare | $442.14 | ↓ -34% |
| Cigna | EBR | $444.40 | ↓ -33% |
| Cigna | Commercial | $444.40 | ↓ -33% |
| Aetna | Medicare | $450.98 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $451.34 | ↓ -32% |
| Wellcare | Medicare Advantage | $455.40 | ↓ -32% |
| BCBS of Western NY | Medicare Advantage | $464.25 | ↓ -30% |
| United Healthcare | Medicare | $473.09 | ↓ -29% |
| Highmark Wholecare (prev Gateway) | Medicare | $477.47 | ↓ -28% |
| Cigna | Medicare | $477.51 | ↓ -28% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $477.51 | ↓ -28% |
| AmeriHealth Caritas | Medicare | $477.51 | ↓ -28% |
| United Healthcare | Commercial | $504.95 | ↓ -24% |
| Independent Health | Medicare Advantage | $546.54 | ↓ -18% |
| InterGroup | Health Coalition Partners/PPO | $722.15 | ↑ +8% |
| Independent Health | Commercial | $727.88 | ↑ +9% |
| Multiplan | PPO (Includes PHCS as a Payer) | $777.70 | ↑ +17% |
| Aetna | AXA/MMO | $777.70 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $888.80 | ↑ +33% |
| InterGroup | Beech Street | $888.80 | ↑ +33% |
| UPMC Health Plan | Commercial | $914.79 | ↑ +37% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Thyroid uptake measurement at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,228.80 | $70.71 – $1,740.80 |
| UPMC Community Osteopathic | Harrisburg | $1,228.80 | $70.71 – $1,831.93 |
| UPMC Hanover | Hanover | $1,228.80 | $70.71 – $614.19 |
| UPMC Jameson | New Castle | $619.20 | $62.08 – $478.88 |
| UPMC Kane | Kane | $367.80 | $67.32 – $294.61 |
| UPMC Lititz | Lititz | $1,228.80 | $70.71 – $617.50 |
| UPMC Memorial | York | $1,228.80 | $49.96 – $616.50 |
| UPMC Muncy | Muncy | $889.80 | $67.32 – $116.80 |