Angioplasty tib/pero/unilat/ea add 37232 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$8,583.60
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.
$14,306.00
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.
$187.55 with UPMC Health Plan vs $11,444.80 with Multiplan — 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 | $187.55 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $196.07 | ↓ -98% |
| Aetna | Medicaid | $204.60 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $236.98 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $252.85 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $257.11 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $266.17 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $290.57 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $1,795.89 | ↓ -79% |
| Univera | Univera_Medicare_Hamot_2024 | $2,145.90 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,187.64 | ↓ -75% |
| BCBS of Western NY | Commercial | $2,794.87 | ↓ -67% |
| United Healthcare | Commercial | $2,849.00 | ↓ -67% |
| Aetna | Commercial | $3,576.50 | ↓ -58% |
| Cigna | NBR ASO/FI | $4,291.80 | ↓ -50% |
| Cigna | New Business ASO | $4,291.80 | ↓ -50% |
| Univera | Commercial | $4,720.98 | ↓ -45% |
| Cigna | EBR | $5,722.40 | ↓ -33% |
| Aetna | Medicare | $5,722.40 | ↓ -33% |
| Cigna | Commercial | $5,722.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $6,610.47 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $7,153.00 | ↓ -17% |
| UPMC Health Plan | Commercial | $8,351.95 | ↓ -3% |
| InterGroup | Health Coalition Partners/PPO | $9,298.90 | ↑ +8% |
| Aetna | AXA/MMO | $10,014.20 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $10,014.20 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $10,576.65 | ↑ +23% |
| InterGroup | Beech Street | $11,444.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $11,444.80 | ↑ +33% |
Visitor-reported prices
Comments
Angioplasty tib/pero/unilat/ea add 37232 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $14,238.00 | $1,795.89 – $18,984.00 |
| UPMC Carlisle | Carlisle | $8,640.60 | $223.35 – $12,240.85 |
| UPMC Community Osteopathic | Harrisburg | $8,640.60 | $223.35 – $12,240.85 |
| UPMC East | Monroeville | $9,157.80 | $1,795.89 – $12,210.40 |
| UPMC Northwest | Seneca | $27,920.40 | $1,795.89 – $5,677.77 |
| UPMC Hanover | Hanover | $8,640.60 | $223.35 – $6,727.11 |
| UPMC Jameson | New Castle | $2,635.80 | $196.07 – $6,727.11 |
| UPMC Lititz | Lititz | $8,640.60 | $223.35 – $6,727.11 |