Angio trnslmnl balloon same vein ini at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$6,459.00
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.
$10,765.00
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.
$275.98 with UPMC Health Plan vs $8,924.05 with Independent Health — 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 | $275.98 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $288.52 | ↓ -96% |
| Aetna | Medicaid | $301.07 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $348.71 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $372.07 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $378.34 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $391.66 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $427.57 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $922.78 | ↓ -86% |
| Univera | Univera_Medicare_Hamot_2024 | $1,614.75 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $1,872.63 | ↓ -71% |
| Aetna | Commercial | $2,691.25 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,788.40 | ↓ -57% |
| BCBS of Western NY | Commercial | $2,794.87 | ↓ -57% |
| United Healthcare | Commercial | $2,849.00 | ↓ -56% |
| Cigna | NBR ASO/FI | $3,229.50 | ↓ -50% |
| Cigna | New Business ASO | $3,229.50 | ↓ -50% |
| Univera | Commercial | $3,552.45 | ↓ -45% |
| UPMC Health Plan | Commercial | $3,961.52 | ↓ -39% |
| Cigna | Commercial | $4,306.00 | ↓ -33% |
| Cigna | EBR | $4,306.00 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $4,461.41 | ↓ -31% |
| Fidelis | Medicare | $6,273.50 | ↓ -3% |
| Aetna | Medicare | $6,398.97 | ↓ -1% |
| UPMC Health Plan | Partners/Select | $6,403.99 | ↓ -1% |
| Wellcare | Medicare Advantage | $6,461.70 | ↑ +0% |
| BCBS of Western NY | Medicare Advantage | $6,587.18 | ↑ +2% |
| United Healthcare | Medicare | $6,712.65 | ↑ +4% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,774.75 | ↑ +5% |
| AmeriHealth Caritas | Medicare | $6,775.38 | ↑ +5% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,775.38 | ↑ +5% |
| Cigna | Medicare | $6,775.38 | ↑ +5% |
| InterGroup | Health Coalition Partners/PPO | $6,997.25 | ↑ +8% |
| Aetna | AXA/MMO | $7,535.50 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $7,535.50 | ↑ +17% |
| Independent Health | Medicare Advantage | $7,905.86 | ↑ +22% |
| InterGroup | Beech Street | $8,612.00 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $8,612.00 | ↑ +33% |
| Independent Health | Commercial | $8,924.05 | ↑ +38% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Angio trnslmnl balloon same vein ini at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,247.60 | $250.89 – $14,996.80 |
| UPMC Carlisle | Carlisle | $12,394.80 | $318.63 – $17,559.30 |
| UPMC Community Osteopathic | Harrisburg | $12,394.80 | $318.63 – $17,559.30 |
| UPMC East | Monroeville | $10,360.20 | $275.98 – $13,813.60 |
| UPMC Hanover | Hanover | $12,394.80 | $318.63 – $8,714.66 |
| UPMC Jameson | New Castle | $9,959.40 | $275.98 – $7,338.22 |
| UPMC Lititz | Lititz | $12,394.80 | $318.63 – $8,761.73 |
| UPMC Magee | Pittsburgh | $10,302.60 | $275.98 – $5,870.58 |