Unlisted px posterior segmnt at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,036.20
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.
$6,727.00
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.
$1,009.05 with Univera vs $5,381.60 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $1,009.05 | ↓ -75% |
| UPMC Health Plan | Commercial | $1,399.84 | ↓ -65% |
| United Healthcare | Commercial | $1,535.00 | ↓ -62% |
| Aetna | Commercial | $1,681.75 | ↓ -58% |
| Cigna | New Business ASO | $2,018.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $2,018.10 | ↓ -50% |
| Univera | Commercial | $2,219.91 | ↓ -45% |
| BCBS of Western NY | Commercial | $2,354.45 | ↓ -42% |
| Fidelis | Medicare | $2,509.53 | ↓ -38% |
| Aetna | Medicare | $2,559.72 | ↓ -37% |
| UPMC Health Plan | Partners/Select | $2,561.73 | ↓ -37% |
| Wellcare | Medicare Advantage | $2,584.82 | ↓ -36% |
| BCBS of Western NY | Medicare Advantage | $2,635.01 | ↓ -35% |
| United Healthcare | Medicare | $2,685.20 | ↓ -33% |
| Cigna | EBR | $2,690.80 | ↓ -33% |
| Cigna | Commercial | $2,690.80 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,710.04 | ↓ -33% |
| Cigna | Medicare | $2,710.29 | ↓ -33% |
| AmeriHealth Caritas | Medicare | $2,710.29 | ↓ -33% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,710.29 | ↓ -33% |
| Independent Health | Medicare Advantage | $3,162.51 | ↓ -22% |
| Independent Health | Commercial | $3,695.00 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $3,699.85 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,699.85 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $4,372.55 | ↑ +8% |
| Aetna | AXA/MMO | $4,708.90 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,708.90 | ↑ +17% |
| InterGroup | Beech Street | $5,381.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $5,381.60 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px posterior segmnt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,997.80 | $1,127.50 – $5,330.40 |
| UPMC Bedford | Everett | $4,036.20 | $784.52 – $6,054.30 |
| UPMC East | Monroeville | $4,036.20 | $644.11 – $5,381.60 |
| UPMC Northwest | Seneca | $4,036.20 | $812.53 – $2,348.35 |
| UPMC Horizon-Greenville | Greenville | $4,036.20 | $631.62 – $4,080.26 |
| UPMC Jameson | New Castle | $4,036.20 | $1,127.50 – $2,935.44 |
| UPMC Magee | Pittsburgh | $4,036.20 | $1,023.63 – $2,391.84 |
| UPMC McKeesport | Mckeesport | $4,036.20 | $614.01 – $2,391.84 |