CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: UPMC Hamot

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$7,754
about 1.4× the $5,676 Medicare rate · typically $6,034–$9,524
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,712
About the fair price
about $42 under the fair price · 1.4× Medicare
Medicare pays $5,676 Fair price $7,754 This hospital $7,712

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $4,806 Priciest $7,712

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,754 (about 1.4× the $5,676 Medicare rate). UPMC Hamot charges insurers about $7,712 — about the fair price. Located in Erie, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $7,126 - $7,677 126%
Blue Cross Blue Shieldmajor $7,175 - $16,405 126%
Aetnamajor $7,318 129%
Cignamajor $7,749 137%
AmeriHealth $7,749 137%
Fidelis Care $7,175 126%
Independent Health $7,264 128%
UPMC Health Plan $7,654 - $9,495 135%
WellCare $7,390 130%
+ 2 smaller / regional plans $7,749 - $7,892

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Facility Profile & Credentials

  • Address: 201 State Street, Erie, PA 16550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals