Cath epdrl brevi-stf 12in .043 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,348.00
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.
$5,580.00
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.
$330.45 with Univera vs $2,080.89 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 | $330.45 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $352.48 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $418.57 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $430.41 | ↓ -87% |
| Aetna | Commercial | $550.75 | ↓ -84% |
| Cigna | New Business ASO | $660.90 | ↓ -80% |
| Cigna | NBR ASO/FI | $660.90 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $726.99 | ↓ -78% |
| Univera | Commercial | $726.99 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $726.99 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $745.27 | ↓ -78% |
| BCBS of Western NY | Commercial | $771.05 | ↓ -77% |
| UPMC Health Plan | Commercial | $810.70 | ↓ -76% |
| Cigna | Commercial | $881.20 | ↓ -74% |
| Aetna | Medicare | $881.20 | ↓ -74% |
| Cigna | EBR | $881.20 | ↓ -74% |
| United Healthcare | Commercial | $1,001.26 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,101.50 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,300.57 | ↓ -61% |
| InterGroup | Health Coalition Partners/PPO | $1,431.95 | ↓ -57% |
| Aetna | AXA/MMO | $1,542.10 | ↓ -54% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,542.10 | ↓ -54% |
| InterGroup | Beech Street | $1,762.40 | ↓ -47% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,762.40 | ↓ -47% |
| Highmark BCBS of PA | UPMC Emergent | $2,080.89 | ↓ -38% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath epdrl brevi-stf 12in .043 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,275.20 | $397.10 – $1,672.00 |
| UPMC Cole | Coudersport | $1,069.20 | $338.58 – $1,425.60 |
| UPMC East | Monroeville | $2,679.00 | $377.34 – $1,588.80 |
| UPMC Mercy | Pittsburgh | $3,607.80 | $430.41 – $721.18 |
| UPMC Muncy | Muncy | $2,166.60 | $541.65 – $3,249.90 |
| UPMC Passavant-McCandless | Pittsburgh | $276.60 | $434.50 – $1,325.32 |
| UPMC Presbyterian | Pittsburgh | $7,204.80 | $434.50 – $1,476.65 |
| UPMC Williamsport | Williamsport | $1,297.80 | $584.01 – $1,946.70 |