Treat knuckle dislocation at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$5,799.00
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.
?
What you pay up front if you don't use insurance.
$9,665.00
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.
$246.40 with UPMC Health Plan vs $7,732.00 with InterGroup — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $246.40 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $257.60 | ↓ -96% |
| Aetna | Medicaid | $268.80 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $311.34 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $332.19 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $337.79 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $349.69 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $381.74 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $1,001.44 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,030.96 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $1,449.75 | ↓ -75% |
| United Healthcare | Commercial | $1,754.00 | ↓ -70% |
| Aetna | Commercial | $2,416.25 | ↓ -58% |
| Cigna | NBR ASO/FI | $2,899.50 | ↓ -50% |
| Cigna | New Business ASO | $2,899.50 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $3,115.30 | ↓ -46% |
| Univera | Commercial | $3,189.45 | ↓ -45% |
| BCBS of Western NY | Commercial | $3,547.20 | ↓ -39% |
| Fidelis | Medicare | $3,570.11 | ↓ -38% |
| Aetna | Medicare | $3,641.51 | ↓ -37% |
| UPMC Health Plan | Partners/Select | $3,644.37 | ↓ -37% |
| Wellcare | Medicare Advantage | $3,677.21 | ↓ -37% |
| BCBS of Western NY | Medicare Advantage | $3,748.62 | ↓ -35% |
| United Healthcare | Medicare | $3,820.02 | ↓ -34% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,855.36 | ↓ -34% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,855.72 | ↓ -34% |
| Cigna | Medicare | $3,855.72 | ↓ -34% |
| AmeriHealth Caritas | Medicare | $3,855.72 | ↓ -34% |
| Cigna | Commercial | $3,866.00 | ↓ -33% |
| Cigna | EBR | $3,866.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $4,057.61 | ↓ -30% |
| Independent Health | Medicare Advantage | $4,499.05 | ↓ -22% |
| Highmark BCBS of PA | UPMC Emergent | $4,984.44 | ↓ -14% |
| Independent Health | Commercial | $5,093.35 | ↓ -12% |
| InterGroup | Health Coalition Partners/PPO | $6,282.25 | ↑ +8% |
| Aetna | AXA/MMO | $6,765.50 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,765.50 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $7,732.00 | ↑ +33% |
| InterGroup | Beech Street | $7,732.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Treat knuckle dislocation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,023.00 | $235.20 – $1,470.59 |
| UPMC Williamsport | Williamsport | $6,497.40 | $246.40 – $3,309.88 |
| UPMC Mercy | Pittsburgh | not published | $246.40 – $3,402.68 |
| UPMC Presbyterian | Pittsburgh | not published | $246.40 – $3,402.68 |