Upmc Hamot
UPMC HAMOT in Erie, PA charges 9.7x the Medicare reimbursement rate across 109 analyzed procedures, with 12% showing particularly high pricing variations.
Erie, PA 16550 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
F
Very high
Avg markup vs Medicare
9.69x
Charge / Medicare rate
Max markup
17.87x
Worst procedure
Procedures analyzed
109
With pricing data
Outlier procedures
11.9%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $207,517 | $103,759 | — | 17.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $97,251 | $48,625 | — | 16.3x |
| HYPERTENSION WITHOUT MCC | 305 | $58,489 | $29,244 | — | 15.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $158,255 | $79,127 | — | 15.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $67,738 | $33,869 | — | 15x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $143,276 | $71,638 | — | 14.8x |
| SEIZURES WITHOUT MCC | 101 | $77,996 | $38,998 | — | 14.3x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $64,437 | $32,218 | — | 13.5x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $283,519 | $141,760 | — | 13.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $110,830 | $55,415 | — | 13.1x |
| DIABETES WITH MCC | 637 | $124,027 | $62,013 | — | 12.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $77,500 | $38,750 | — | 12.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $99,244 | $49,622 | — | 12.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $68,530 | $34,265 | — | 12.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $58,264 | $29,132 | — | 12.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $31,851 | $15,925 | — | 12.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $59,803 | $29,902 | — | 12x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $151,541 | $75,771 | — | 11.9x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $292,800 | $146,400 | — | 11.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $97,236 | $48,618 | — | 11.8x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $128,675 | $64,338 | — | 11.6x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $82,349 | $41,174 | — | 11.6x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $232,923 | $116,462 | — | 11.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $170,684 | $85,342 | — | 11.5x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $322,222 | $161,111 | — | 11.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $69,529 | $34,765 | — | 11.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $130,159 | $65,079 | — | 11.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $68,111 | $34,056 | — | 11.1x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $423,072 | $211,536 | — | 11x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $153,379 | $76,690 | — | 10.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $58,732 | $29,366 | — | 10.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $126,113 | $63,057 | — | 10.7x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $101,902 | $50,951 | — | 10.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $138,744 | $69,372 | — | 10.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $80,015 | $40,007 | — | 10.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $125,392 | $62,696 | — | 10.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $194,218 | $97,109 | — | 10.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $88,514 | $44,257 | — | 10.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $384,584 | $192,292 | — | 10.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $172,752 | $86,376 | — | 10x |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $133,372 | $66,686 | — | 9.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $268,834 | $134,417 | — | 9.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $39,685 | $19,843 | — | 9.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $118,874 | $59,437 | — | 9.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $40,433 | $20,217 | — | 9.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $202,649 | $101,324 | — | 9.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $75,938 | $37,969 | — | 9.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $44,887 | $22,443 | — | 9.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $76,681 | $38,341 | — | 9.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $42,068 | $21,034 | — | 9.5x |
Showing 50 of 109 procedures
How UPMC HAMOT compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use