Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$5,576.40
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.
$9,294.00
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.
$44.40 with Univera vs $3,117.52 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $44.40 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.36 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $56.24 | ↓ -99% |
| Aetna | Commercial | $74.00 | ↓ -99% |
| Cigna | NBR ASO/FI | $88.80 | ↓ -98% |
| Cigna | New Business ASO | $88.80 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $97.68 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $97.68 | ↓ -98% |
| Univera | Commercial | $97.68 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $100.14 | ↓ -98% |
| BCBS of Western NY | Commercial | $103.60 | ↓ -98% |
| UPMC Health Plan | Commercial | $108.93 | ↓ -98% |
| Cigna | Commercial | $118.40 | ↓ -98% |
| Cigna | EBR | $118.40 | ↓ -98% |
| Aetna | Medicare | $118.40 | ↓ -98% |
| United Healthcare | Commercial | $134.53 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $148.00 | ↓ -97% |
| InterGroup | Health Coalition Partners/PPO | $192.40 | ↓ -97% |
| Multiplan | PPO (Includes PHCS as a Payer) | $207.20 | ↓ -96% |
| Aetna | AXA/MMO | $207.20 | ↓ -96% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $236.80 | ↓ -96% |
| InterGroup | Beech Street | $236.80 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $644.82 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,948.47 | ↓ -65% |
| Highmark BCBS of PA | UPMC Emergent | $3,117.52 | ↓ -44% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,848.80 | $26.98 – $1,323.84 |
| UPMC Community Osteopathic | Harrisburg | $5,022.00 | $141.00 – $3,394.17 |
| UPMC East | Monroeville | $5,268.60 | $27.17 – $1,323.84 |
| UPMC Northwest | Seneca | $2,530.20 | $1,601.96 – $1,673.55 |
| UPMC Magee | Pittsburgh | $4,253.40 | $578.49 – $1,323.84 |
| UPMC McKeesport | Mckeesport | $12,127.80 | $578.49 – $1,323.84 |
| UPMC Memorial | York | $5,022.00 | $525.55 – $1,323.84 |
| UPMC Mercy | Pittsburgh | $6,811.80 | $644.82 – $1,045.36 |