CMS Price Transparency Data

X-ray, shoulder

Facility: UPMC Hamot

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 1.1× the $89 Medicare rate · typically $46–$102
modeled estimate · not a bill or quote
What this hospital charges insurers
$102
About the fair price
about $3 over the fair price · 1.1× Medicare
Medicare pays $89 Fair price $99 This hospital $102 Cash price $341 Hospital's list price $569

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 $21 Priciest $102

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, shoulder is about $99 (about 1.1× the $89 Medicare rate). UPMC Hamot charges insurers about $102, or about $341 in cash — 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 $104 - $259 117%
Blue Cross Blue Shieldmajor $22 - $284 25%
Aetnamajor $99 - $398 111%
Cignamajor $105 - $228 118%
AmeriHealth $105 118%
Fidelis Care $97 109%
Geisinger $313 352%
Independent Health $118 - $158 133%
UPMC Health Plan $51 - $99 57%
WellCare $100 112%
+ 3 smaller / regional plans $85 - $455
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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