Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$10,259.40
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.
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What you pay up front if you don't use insurance.
$17,099.00
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.
$1,534.60 with UPMC Work Partners vs $13,679.20 with InterGroup — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $1,534.60 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,841.74 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $2,564.85 | ↓ -75% |
| United Healthcare | Commercial | $2,608.00 | ↓ -75% |
| BCBS of Western NY | Commercial | $2,794.87 | ↓ -73% |
| Fidelis | Medicare | $4,028.24 | ↓ -61% |
| UPMC Health Plan | Commercial | $4,065.39 | ↓ -60% |
| Aetna | Medicare | $4,108.80 | ↓ -60% |
| UPMC Health Plan | Partners/Select | $4,112.03 | ↓ -60% |
| Wellcare | Medicare Advantage | $4,149.09 | ↓ -60% |
| BCBS of Western NY | Medicare Advantage | $4,229.65 | ↓ -59% |
| Aetna | Commercial | $4,274.75 | ↓ -58% |
| United Healthcare | Medicare | $4,310.22 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,350.10 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4,350.50 | ↓ -58% |
| AmeriHealth Caritas | Medicare | $4,350.50 | ↓ -58% |
| Cigna | Medicare | $4,350.50 | ↓ -58% |
| Independent Health | Medicare Advantage | $5,076.39 | ↓ -51% |
| Cigna | NBR ASO/FI | $5,129.70 | ↓ -50% |
| Cigna | New Business ASO | $5,129.70 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $5,565.24 | ↓ -46% |
| Independent Health | Commercial | $5,566.27 | ↓ -46% |
| Univera | Commercial | $5,642.67 | ↓ -45% |
| Cigna | Commercial | $6,839.60 | ↓ -33% |
| Cigna | EBR | $6,839.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $8,904.30 | ↓ -13% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $9,404.45 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $9,404.45 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $11,114.35 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $11,969.30 | ↑ +17% |
| Aetna | AXA/MMO | $11,969.30 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $13,679.20 | ↑ +33% |
| InterGroup | Beech Street | $13,679.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,420.20 | $656.13 – $1,893.60 |
| UPMC Community Osteopathic | Harrisburg | $2,289.00 | $1,016.56 – $7,348.95 |
| UPMC Magee | Pittsburgh | $7,683.60 | $1,534.60 – $3,839.33 |
| UPMC Passavant-McCandless | Pittsburgh | $8,968.80 | $1,480.07 – $3,839.33 |
| UPMC Presbyterian | Pittsburgh | $15,103.20 | $931.20 – $3,839.33 |
| UPMC Somerset | Somerset | $2,289.00 | $816.85 – $882.12 |
| UPMC St. Margaret | Pittsburgh | $9,424.80 | $1,469.60 – $1,859.27 |
| UPMC Williamsport | Williamsport | $11,606.40 | $993.28 – $3,769.52 |