Angio tib/peroneal/init ves/unila 37228 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$20,479.20
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.
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What you pay up front if you don't use insurance.
$34,132.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$518.43 with UPMC Health Plan vs $46,936.80 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 Health Plan | Managed Medicaid | $518.43 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $542.00 | ↓ -97% |
| Aetna | Medicaid | $565.56 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $655.06 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $698.94 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $710.72 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $735.75 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $803.19 | ↓ -96% |
| BCBS of Western NY | Commercial | $2,794.87 | ↓ -86% |
| United Healthcare | Commercial | $2,849.00 | ↓ -86% |
| Univera | Univera_Medicare_Hamot_2024 | $5,119.80 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $7,969.78 | ↓ -61% |
| Aetna | Commercial | $8,533.00 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $9,708.25 | ↓ -53% |
| Cigna | New Business ASO | $10,239.60 | ↓ -50% |
| Cigna | NBR ASO/FI | $10,239.60 | ↓ -50% |
| Univera | Commercial | $11,263.56 | ↓ -45% |
| Fidelis | Medicare | $12,478.26 | ↓ -39% |
| Aetna | Medicare | $12,727.83 | ↓ -38% |
| UPMC Health Plan | Partners/Select | $12,737.81 | ↓ -38% |
| Wellcare | Medicare Advantage | $12,852.61 | ↓ -37% |
| BCBS of Western NY | Medicare Advantage | $13,102.17 | ↓ -36% |
| United Healthcare | Medicare | $13,351.74 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicare | $13,475.27 | ↓ -34% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13,476.52 | ↓ -34% |
| AmeriHealth Caritas | Medicare | $13,476.52 | ↓ -34% |
| Cigna | Medicare | $13,476.52 | ↓ -34% |
| Cigna | Commercial | $13,652.80 | ↓ -33% |
| Cigna | EBR | $13,652.80 | ↓ -33% |
| Independent Health | Medicare Advantage | $15,725.10 | ↓ -23% |
| Independent Health | Commercial | $18,163.82 | ↓ -11% |
| InterGroup | Health Coalition Partners/PPO | $22,185.80 | ↑ +8% |
| UPMC Health Plan | Commercial | $22,610.48 | ↑ +10% |
| Multiplan | PPO (Includes PHCS as a Payer) | $23,892.40 | ↑ +17% |
| Aetna | AXA/MMO | $23,892.40 | ↑ +17% |
| InterGroup | Beech Street | $27,305.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $27,305.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $29,335.76 | ↑ +43% |
| Highmark BCBS of PA | UPMC Emergent | $46,936.80 | ↑ +129% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Angio tib/peroneal/init ves/unila 37228 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $21,133.20 | $7,969.78 – $28,177.60 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $40,644.00 | $7,969.78 – $54,192.00 |
| UPMC Northwest | Seneca | $37,266.60 | $7,969.78 – $11,676.82 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $18,211.70 |
| UPMC Jameson | New Castle | $17,079.00 | $892.40 – $14,596.02 |
| UPMC Lititz | Lititz | $17,281.80 | $1,016.56 – $18,211.70 |