Cath imag ivus pv 8.5fx90 .035 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$5,631.00
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.
$9,385.00
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.
$15.30 with Univera vs $2,918.91 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 | $15.30 | ↓ -100% |
| Aetna | Commercial | $25.50 | ↓ -100% |
| Cigna | New Business ASO | $30.60 | ↓ -99% |
| Cigna | NBR ASO/FI | $30.60 | ↓ -99% |
| Univera | Commercial | $33.66 | ↓ -99% |
| BCBS of Western NY | Commercial | $35.70 | ↓ -99% |
| UPMC Health Plan | Commercial | $37.54 | ↓ -99% |
| Cigna | Commercial | $40.80 | ↓ -99% |
| Cigna | EBR | $40.80 | ↓ -99% |
| Aetna | Medicare | $40.80 | ↓ -99% |
| United Healthcare | Commercial | $46.36 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $51.00 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $56.10 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $56.10 | ↓ -99% |
| InterGroup | Health Coalition Partners/PPO | $66.30 | ↓ -99% |
| Multiplan | PPO (Includes PHCS as a Payer) | $71.40 | ↓ -99% |
| Aetna | AXA/MMO | $71.40 | ↓ -99% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $81.60 | ↓ -99% |
| InterGroup | Beech Street | $81.60 | ↓ -99% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $603.74 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $971.20 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,153.30 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,824.34 | ↓ -68% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,053.48 | ↓ -64% |
| Highmark BCBS of PA | UPMC Emergent | $2,918.91 | ↓ -48% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath imag ivus pv 8.5fx90 .035 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,126.40 | $42.50 – $3,814.33 |
| UPMC Community Osteopathic | Harrisburg | $7,522.20 | $690.60 – $3,814.33 |
| UPMC East | Monroeville | $6,164.40 | $14.50 – $3,814.33 |
| UPMC Magee | Pittsburgh | $2,281.20 | $94.53 – $3,814.33 |
| UPMC McKeesport | Mckeesport | $2,257.80 | $94.53 – $3,814.33 |
| UPMC Memorial | York | $7,522.20 | $85.94 – $3,814.33 |
| UPMC Mercy | Pittsburgh | $3,611.40 | $603.74 – $3,011.96 |
| UPMC Muncy | Muncy | $1,237.80 | $16.20 – $97.20 |