Ultrasound pregnant uterus transvaginal at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$906.60
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.
?
What you pay up front if you don't use insurance.
$1,511.00
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.
$96.35 with UPMC Health Plan vs $1,208.80 with Multiplan — 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 | $96.35 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $100.73 | ↓ -89% |
| Aetna | Medicaid | $105.11 | ↓ -88% |
| Fidelis | Medicare | $117.01 | ↓ -87% |
| Aetna | Medicare | $119.35 | ↓ -87% |
| UPMC Health Plan | Partners/Select | $119.44 | ↓ -87% |
| Wellcare | Medicare Advantage | $120.52 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $121.74 | ↓ -87% |
| BCBS of Western NY | Medicare Advantage | $122.86 | ↓ -86% |
| United Healthcare | Medicare | $125.20 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $126.36 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $126.37 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $126.37 | ↓ -86% |
| Cigna | Medicare | $126.37 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $129.90 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $132.09 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $136.74 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $138.29 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $149.27 | ↓ -84% |
| Independent Health | Medicare Advantage | $166.40 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $175.50 | ↓ -81% |
| BCBS of Western NY | Commercial | $221.13 | ↓ -76% |
| Independent Health | Commercial | $221.61 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $226.65 | ↓ -75% |
| UPMC Health Plan | Commercial | $253.33 | ↓ -72% |
| United Healthcare | Commercial | $276.00 | ↓ -70% |
| Aetna | Commercial | $377.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $417.89 | ↓ -54% |
| Cigna | New Business ASO | $453.30 | ↓ -50% |
| Cigna | NBR ASO/FI | $453.30 | ↓ -50% |
| Univera | Commercial | $498.63 | ↓ -45% |
| Cigna | Commercial | $604.40 | ↓ -33% |
| Cigna | EBR | $604.40 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $668.62 | ↓ -26% |
| InterGroup | Health Coalition Partners/PPO | $982.15 | ↑ +8% |
| Aetna | AXA/MMO | $1,057.70 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,057.70 | ↑ +17% |
| InterGroup | Beech Street | $1,208.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,208.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound pregnant uterus transvaginal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $534.60 | $53.03 – $712.80 |
| UPMC Bedford | Everett | $769.20 | $36.58 – $1,153.80 |
| UPMC Carlisle | Carlisle | $394.20 | $69.47 – $558.45 |
| UPMC Cole | Coudersport | $326.40 | $91.97 – $435.20 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $69.47 – $558.45 |
| UPMC East | Monroeville | $1,272.60 | $96.35 – $1,696.80 |
| UPMC Northwest | Seneca | $441.60 | $91.94 – $175.50 |
| UPMC Hanover | Hanover | $394.20 | $69.47 – $183.66 |