Brach/thor cath 3rd at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$6,967.20
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.
$11,612.00
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.
$332.28 with UPMC Health Plan vs $9,289.60 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 | $332.28 | ↓ -95% |
| United Healthcare | Commercial | $340.00 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $347.38 | ↓ -95% |
| Aetna | Medicaid | $362.48 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $419.85 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $447.97 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $455.52 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $471.56 | ↓ -93% |
| BCBS of Western NY | Commercial | $509.87 | ↓ -93% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $514.79 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $947.07 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,631.43 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $1,741.80 | ↓ -75% |
| Aetna | Commercial | $2,903.00 | ↓ -58% |
| Cigna | NBR ASO/FI | $3,483.60 | ↓ -50% |
| Cigna | New Business ASO | $3,483.60 | ↓ -50% |
| Univera | Commercial | $3,831.96 | ↓ -45% |
| Cigna | Commercial | $4,644.80 | ↓ -33% |
| Cigna | EBR | $4,644.80 | ↓ -33% |
| Aetna | Medicare | $4,644.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $4,929.75 | ↓ -29% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,806.00 | ↓ -17% |
| UPMC Health Plan | Commercial | $6,415.44 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $7,547.80 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $7,887.53 | ↑ +13% |
| Aetna | AXA/MMO | $8,128.40 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,128.40 | ↑ +17% |
| InterGroup | Beech Street | $9,289.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $9,289.60 | ↑ +33% |
Visitor-reported prices
Comments
Brach/thor cath 3rd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,533.40 | $302.07 – $4,711.20 |
| UPMC Carlisle | Carlisle | $3,135.00 | $383.63 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $3,135.00 | $407.79 – $6,734.26 |
| UPMC East | Monroeville | $6,828.00 | $332.28 – $9,104.00 |
| UPMC Hanover | Hanover | $3,135.00 | $383.63 – $1,016.56 |
| UPMC Lititz | Lititz | $3,135.00 | $346.74 – $1,016.56 |
| UPMC Magee | Pittsburgh | $4,970.40 | $332.28 – $1,646.97 |
| UPMC McKeesport | Mckeesport | $6,742.20 | $332.28 – $1,646.97 |