Ultrasound transabd ea addl gest at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$430.80
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.
$718.00
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.
$75.50 with UPMC Health Plan vs $574.40 with Multiplan — 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 | Commercial | $75.50 | ↓ -82% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $101.42 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $107.70 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $119.34 | ↓ -72% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $124.76 | ↓ -71% |
| Aetna | Medicaid | $130.19 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $150.79 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $160.89 | ↓ -63% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $163.60 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $169.36 | ↓ -61% |
| Aetna | Commercial | $179.50 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $184.89 | ↓ -57% |
| Cigna | NBR ASO/FI | $215.40 | ↓ -50% |
| Cigna | New Business ASO | $215.40 | ↓ -50% |
| Univera | Commercial | $236.94 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $263.13 | ↓ -39% |
| United Healthcare | Commercial | $276.00 | ↓ -36% |
| Aetna | Medicare | $287.20 | ↓ -33% |
| Cigna | Commercial | $287.20 | ↓ -33% |
| Cigna | EBR | $287.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $306.45 | ↓ -29% |
| Highmark Wholecare (prev Gateway) | Medicare | $359.00 | ↓ -17% |
| BCBS of Western NY | Commercial | $463.37 | ↑ +8% |
| InterGroup | Health Coalition Partners/PPO | $466.70 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $490.32 | ↑ +14% |
| Multiplan | PPO (Includes PHCS as a Payer) | $502.60 | ↑ +17% |
| Aetna | AXA/MMO | $502.60 | ↑ +17% |
| InterGroup | Beech Street | $574.40 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $574.40 | ↑ +33% |
Visitor-reported prices
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Ultrasound transabd ea addl gest at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $633.60 | $45.22 – $844.80 |
| UPMC Carlisle | Carlisle | $343.20 | $59.24 – $486.20 |
| UPMC Community Osteopathic | Harrisburg | $343.20 | $59.24 – $486.20 |
| UPMC Hanover | Hanover | $343.20 | $59.24 – $275.36 |
| UPMC Horizon-Greenville | Greenville | $677.40 | $70.21 – $263.13 |
| UPMC Jameson | New Castle | $677.40 | $52.00 – $263.13 |
| UPMC Kane | Kane | $384.00 | $111.34 – $442.04 |
| UPMC Lititz | Lititz | $343.20 | $59.24 – $275.36 |