Ventilator initial day at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,341.60
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.
$2,236.00
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.
$130.31 with UPMC Work Partners vs $1,788.80 with InterGroup — 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 Work Partners | Workers Comp | $130.31 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $152.77 | ↓ -89% |
| BCBS of Western NY | Commercial | $233.21 | ↓ -83% |
| UPMC Health Plan | Commercial | $281.43 | ↓ -79% |
| Univera | Univera_Medicare_Hamot_2024 | $335.40 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $461.64 | ↓ -66% |
| Aetna | Commercial | $559.00 | ↓ -58% |
| Cigna | New Business ASO | $670.80 | ↓ -50% |
| Cigna | NBR ASO/FI | $670.80 | ↓ -50% |
| Fidelis | Medicare | $727.42 | ↓ -46% |
| Univera | Commercial | $737.88 | ↓ -45% |
| Highmark BCBS of PA | UPMC Emergent | $738.63 | ↓ -45% |
| Aetna | Medicare | $741.97 | ↓ -45% |
| UPMC Health Plan | Partners/Select | $742.55 | ↓ -45% |
| Wellcare | Medicare Advantage | $749.24 | ↓ -44% |
| BCBS of Western NY | Medicare Advantage | $763.79 | ↓ -43% |
| United Healthcare | Medicare | $778.34 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicare | $785.54 | ↓ -41% |
| Cigna | Medicare | $785.61 | ↓ -41% |
| AmeriHealth Caritas | Medicare | $785.61 | ↓ -41% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $785.61 | ↓ -41% |
| Cigna | EBR | $894.40 | ↓ -33% |
| Cigna | Commercial | $894.40 | ↓ -33% |
| United Healthcare | Commercial | $1,016.26 | ↓ -24% |
| Geisinger | Medicaid/CHIP | $1,229.80 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,229.80 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $1,453.40 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,565.20 | ↑ +17% |
| Aetna | AXA/MMO | $1,565.20 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,788.80 | ↑ +33% |
| InterGroup | Beech Street | $1,788.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ventilator initial day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $600.00 | $130.31 – $800.00 |
| UPMC Bedford | Everett | $832.80 | $130.31 – $1,249.20 |
| UPMC Carlisle | Carlisle | $1,585.80 | $86.13 – $2,246.55 |
| UPMC Cole | Coudersport | $293.40 | $95.24 – $391.20 |
| UPMC Community Osteopathic | Harrisburg | $1,585.80 | $86.13 – $2,246.55 |
| UPMC East | Monroeville | $791.40 | $130.31 – $1,055.20 |
| UPMC Northwest | Seneca | $691.80 | $130.31 – $680.70 |
| UPMC Hanover | Hanover | $1,585.80 | $86.13 – $1,010.48 |