UPMC · Erie, PA
28
In-network payers
250
Disclosed rate categories
423
Beds
3
Care quality
Upmc Hamot is a 423-bed voluntary non-profit - private hospital in Erie, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 250 disclosed rate categories.
CCN (Medicare provider number)
390063
NPI
1487647590
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
423
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Hamot most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$4,406 - $13,590
from 4 insurers · median $7,051
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$6,180 - $11,964
from 3 insurers · median $8,811
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$12,963 - $23,423
from 3 insurers · median $18,442
70 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$25,056 - $81,059
from 4 insurers · median $36,012
30 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$391 - $4,052
from 4 insurers · median $1,098
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,930 - $6,311
from 3 insurers · median $2,675
29 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$4,406 - $13,590
from 4 insurers · median $7,051
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 70450
$133 - $1,824
from 4 insurers · median $739
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$65,896 - $176,127
from 3 insurers · median $93,738
Hospital reports cardiac thoracic surgery services to CMS
MRI imaging
CPT 70553
$429 - $4,618
from 4 insurers · median $2,592
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$523 - $1,133
from 4 insurers · median $988
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$231 - $1,462
from 4 insurers · median $1,044
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,136 - $6,257
from 3 insurers · median $5,028
76 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$593 - $3,716
from 4 insurers · median $1,913
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,406 - $5,136
from 4 insurers · median $1,748
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$210 - $1,916
from 4 insurers · median $1,033
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,406 - $4,724
from 4 insurers · median $1,748
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,136 - $6,500
from 3 insurers · median $4,748
40 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$508 - $4,537
from 4 insurers · median $2,543
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$31 - $404
from 4 insurers · median $174
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$120 - $188
from 4 insurers · median $141
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$263 - $3,021
from 4 insurers · median $1,422
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,136 - $5,967
from 3 insurers · median $5,028
110 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$2,735 - $6,500
from 3 insurers · median $2,871
44 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 350% | 11 | 1 |
| Insurer B* | 24 | 188% | 13 | 5 |
| Insurer C* | 24 | 162% | 9 | 11 |
| Insurer D* | 24 | 119% | 9 | 11 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Hamot.
201 State Street, Erie, PA 16550
(814) 877-6000
The nearest hospitals of similar type and size. Their rates are compared with Upmc Hamot for the same insurers and services above.
Ahn Saint Vincent Hospital
Rates about the same as Upmc Hamot (21 services)
Meadville Medical Center
Rates about the same as Upmc Hamot (21 services)
Ashtabula County Medical Center
▼ Rates typically 33% lower than Upmc Hamot (21 services)
Sharon Regional Medical Center
▲ Rates typically 7% higher than Upmc Hamot (21 services)
Mercy Health - St Joseph Warren Hospital
▲ Rates typically 11% higher than Upmc Hamot (21 services)
Trumbull Regional Medical Center
▲ Rates typically 21% higher than Upmc Hamot (21 services)
Upmc Hamot
Millcreek Community Hospital
Upmc Jameson
About Upmc Hamot's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Hamot range from $429 to $4,618 across 4 insurers. Blue Cross Blue Shield's rate is $3,707. The median at nearby comparable hospitals is $624. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Hamot range from $391 to $4,052 across 4 insurers. Blue Cross Blue Shield's rate is $1,504. The median at nearby comparable hospitals is $679. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Hamot range from $1,406 to $5,136 across 4 insurers. Cigna's rate is $1,807. The median at nearby comparable hospitals is $1,686. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upmc Hamot range from $4,406 to $13,590 across 4 insurers. UnitedHealthcare's rate is $6,382. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Hamot range from $120 to $188 across 4 insurers. Blue Cross Blue Shield's rate is $188. The median at nearby comparable hospitals is $137. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upmc Hamot range from $12,963 to $23,423 across 3 insurers. Aetna's rate is $12,963. The median at nearby comparable hospitals is $18,435. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Hamot has 423 beds. Facility type: Short Term Acute Care Hospital.
Upmc Hamot is located at 201 State Street, Erie, PA 16550. Its main phone number is (814) 877-6000.
Upmc Hamot's CMS Certification Number (CCN), also called its Medicare provider number, is 390063.
The National Provider Identifier (NPI) on file for Upmc Hamot is 1487647590.
Upmc Hamot is affiliated with UPMC.
Upmc Hamot lists 28 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
250 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers