Ultrasound pregnant uterus detailed fetal exam single/1st gestation at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$828.60
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.
$1,381.00
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.
$202.52 with UPMC Health Plan vs $1,626.97 with Highmark BCBS of PA — 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 Health Plan | Managed Medicaid | $202.52 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $207.15 | ↓ -75% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $211.73 | ↓ -74% |
| Aetna | Medicaid | $220.93 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $255.89 | ↓ -69% |
| Fidelis | Medicare | $265.97 | ↓ -68% |
| Aetna | Medicare | $271.29 | ↓ -67% |
| UPMC Health Plan | Partners/Select | $271.50 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $273.04 | ↓ -67% |
| Wellcare | Medicare Advantage | $273.95 | ↓ -67% |
| United Healthcare | Commercial | $276.00 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $277.64 | ↓ -66% |
| BCBS of Western NY | Medicare Advantage | $279.27 | ↓ -66% |
| United Healthcare | Medicare | $284.59 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $287.22 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $287.25 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $287.25 | ↓ -65% |
| Cigna | Medicare | $287.25 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $287.41 | ↓ -65% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $313.76 | ↓ -62% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $336.52 | ↓ -59% |
| UPMC Health Plan | Commercial | $339.40 | ↓ -59% |
| Aetna | Commercial | $345.25 | ↓ -58% |
| Independent Health | Medicare Advantage | $345.98 | ↓ -58% |
| Cigna | NBR ASO/FI | $414.30 | ↓ -50% |
| Cigna | New Business ASO | $414.30 | ↓ -50% |
| BCBS of Western NY | Commercial | $415.59 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $440.12 | ↓ -47% |
| Univera | Commercial | $455.73 | ↓ -45% |
| Independent Health | Commercial | $460.77 | ↓ -44% |
| Cigna | Commercial | $552.40 | ↓ -33% |
| Cigna | EBR | $552.40 | ↓ -33% |
| InterGroup | Health Coalition Partners/PPO | $897.65 | ↑ +8% |
| Aetna | AXA/MMO | $966.70 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $966.70 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,016.87 | ↑ +23% |
| InterGroup | Beech Street | $1,104.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,104.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,626.97 | ↑ +96% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound pregnant uterus detailed fetal exam single/1st gestation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,995.60 | $91.42 – $2,660.80 |
| UPMC Bedford | Everett | $2,256.60 | $83.15 – $3,384.90 |
| UPMC Carlisle | Carlisle | $819.60 | $119.76 – $1,161.10 |
| UPMC Community Osteopathic | Harrisburg | $819.60 | $119.76 – $1,161.10 |
| UPMC Hanover | Hanover | $819.60 | $119.76 – $460.59 |
| UPMC Horizon-Greenville | Greenville | $1,582.80 | $189.31 – $440.12 |
| UPMC Jameson | New Castle | $1,582.80 | $105.13 – $561.45 |
| UPMC Kane | Kane | $681.60 | $202.52 – $486.18 |