Unlisted px forearm/wrist at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$173.40
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.
$289.00
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.
$18.59 with Highmark BCBS of PA vs $354.21 with Independent Health — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $18.59 | ↓ -89% |
| Univera | Univera_Medicare_Hamot_2024 | $43.35 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $56.17 | ↓ -68% |
| Aetna | Commercial | $72.25 | ↓ -58% |
| UPMC Health Plan | Commercial | $82.60 | ↓ -52% |
| Cigna | NBR ASO/FI | $86.70 | ↓ -50% |
| Cigna | New Business ASO | $86.70 | ↓ -50% |
| Highmark BCBS of PA | UPMC Emergent | $89.87 | ↓ -48% |
| Univera | Commercial | $95.37 | ↓ -45% |
| BCBS of Western NY | Commercial | $101.15 | ↓ -42% |
| Cigna | Commercial | $115.60 | ↓ -33% |
| Cigna | EBR | $115.60 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $158.95 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $158.95 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $187.85 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $202.30 | ↑ +17% |
| Aetna | AXA/MMO | $202.30 | ↑ +17% |
| InterGroup | Beech Street | $231.20 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $231.20 | ↑ +33% |
| Fidelis | Medicare | $263.94 | ↑ +52% |
| Aetna | Medicare | $269.22 | ↑ +55% |
| UPMC Health Plan | Partners/Select | $269.43 | ↑ +55% |
| Wellcare | Medicare Advantage | $271.86 | ↑ +57% |
| BCBS of Western NY | Medicare Advantage | $277.14 | ↑ +60% |
| United Healthcare | Medicare | $282.42 | ↑ +63% |
| Highmark Wholecare (prev Gateway) | Medicare | $285.03 | ↑ +64% |
| AmeriHealth Caritas | Medicare | $285.06 | ↑ +64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $285.06 | ↑ +64% |
| Cigna | Medicare | $285.06 | ↑ +64% |
| Independent Health | Medicare Advantage | $332.62 | ↑ +92% |
| United Healthcare | Commercial | $340.00 | ↑ +96% |
| Independent Health | Commercial | $354.21 | ↑ +104% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px forearm/wrist at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $109.20 | $47.94 – $247.00 |
| UPMC Mercy | Pittsburgh | $102.60 | $18.59 – $251.57 |
| UPMC Presbyterian | Pittsburgh | $382.20 | $18.77 – $251.57 |
| UPMC Altoona | Altoona | not published | $18.59 – $247.00 |
| UPMC Community Osteopathic | Harrisburg | not published | $66.53 – $1,471.05 |
| UPMC East | Monroeville | not published | $18.77 – $251.57 |
| UPMC Kane | Kane | not published | $48.99 – $48.99 |
| WellSpan Gettysburg Hospital | Gettysburg | not published | $245.65 – $1,101.92 |