Aspirate bladder/sprapubic cath 51102 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,218.20
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.
$3,697.00
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.
$169.77 with UPMC Health Plan vs $3,173.88 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 | $169.77 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $177.49 | ↓ -92% |
| Aetna | Medicaid | $185.21 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $214.52 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $228.89 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $232.74 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $240.94 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $263.03 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $516.78 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $554.55 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $592.16 | ↓ -73% |
| Aetna | Commercial | $924.25 | ↓ -58% |
| Cigna | NBR ASO/FI | $1,109.10 | ↓ -50% |
| Cigna | New Business ASO | $1,109.10 | ↓ -50% |
| Univera | Commercial | $1,220.01 | ↓ -45% |
| Cigna | Commercial | $1,478.80 | ↓ -33% |
| Cigna | EBR | $1,478.80 | ↓ -33% |
| BCBS of Western NY | Commercial | $1,572.66 | ↓ -29% |
| United Healthcare | Commercial | $1,754.00 | ↓ -21% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,789.34 | ↓ -19% |
| Fidelis | Medicare | $2,254.02 | ↑ +2% |
| Aetna | Medicare | $2,299.10 | ↑ +4% |
| UPMC Health Plan | Partners/Select | $2,300.90 | ↑ +4% |
| Wellcare | Medicare Advantage | $2,321.64 | ↑ +5% |
| BCBS of Western NY | Medicare Advantage | $2,366.72 | ↑ +7% |
| InterGroup | Health Coalition Partners/PPO | $2,403.05 | ↑ +8% |
| United Healthcare | Medicare | $2,411.80 | ↑ +9% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,434.12 | ↑ +10% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,434.34 | ↑ +10% |
| Cigna | Medicare | $2,434.34 | ↑ +10% |
| AmeriHealth Caritas | Medicare | $2,434.34 | ↑ +10% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,587.90 | ↑ +17% |
| Aetna | AXA/MMO | $2,587.90 | ↑ +17% |
| Independent Health | Medicare Advantage | $2,840.52 | ↑ +28% |
| UPMC Health Plan | Commercial | $2,856.41 | ↑ +29% |
| Highmark BCBS of PA | UPMC Emergent | $2,862.92 | ↑ +29% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,957.60 | ↑ +33% |
| InterGroup | Beech Street | $2,957.60 | ↑ +33% |
| Independent Health | Commercial | $3,173.88 | ↑ +43% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Aspirate bladder/sprapubic cath 51102 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,336.00 | $154.34 – $4,448.00 |
| UPMC Carlisle | Carlisle | $6,756.00 | $196.01 – $9,571.00 |
| UPMC Cole | Coudersport | $1,266.00 | $156.90 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $6,756.00 | $196.01 – $9,571.00 |
| UPMC East | Monroeville | $2,024.40 | $169.77 – $2,699.20 |
| UPMC Northwest | Seneca | $3,951.60 | $169.77 – $2,050.66 |
| UPMC Hanover | Hanover | $6,756.00 | $196.01 – $3,131.10 |
| UPMC Jameson | New Castle | $2,024.40 | $169.77 – $2,636.56 |