Cath plc art ang/grft lt/rt hr at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$25,078.20
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.
?
What you pay up front if you don't use insurance.
$41,797.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,756.25 with Highmark BCBS of PA vs $33,437.60 with InterGroup — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,756.25 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $2,119.68 | ↓ -92% |
| United Healthcare | Commercial | $2,815.00 | ↓ -89% |
| UPMC Health Plan | Commercial | $3,433.53 | ↓ -86% |
| Fidelis | Medicare | $3,539.08 | ↓ -86% |
| Aetna | Medicare | $3,609.86 | ↓ -86% |
| UPMC Health Plan | Partners/Select | $3,612.69 | ↓ -86% |
| Wellcare | Medicare Advantage | $3,645.25 | ↓ -85% |
| BCBS of Western NY | Medicare Advantage | $3,716.03 | ↓ -85% |
| United Healthcare | Medicare | $3,786.82 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,821.85 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,822.21 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $3,822.21 | ↓ -85% |
| Cigna | Medicare | $3,822.21 | ↓ -85% |
| Independent Health | Medicare Advantage | $4,459.95 | ↓ -82% |
| Independent Health | Commercial | $5,062.22 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $5,306.92 | ↓ -79% |
| BCBS of Western NY | Commercial | $5,610.03 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $6,269.55 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $8,491.00 | ↓ -66% |
| Aetna | Commercial | $10,449.25 | ↓ -58% |
| Cigna | New Business ASO | $12,539.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $12,539.10 | ↓ -50% |
| Univera | Commercial | $13,793.01 | ↓ -45% |
| Cigna | EBR | $16,718.80 | ↓ -33% |
| Cigna | Commercial | $16,718.80 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $22,988.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $22,988.35 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $27,168.05 | ↑ +8% |
| Aetna | AXA/MMO | $29,257.90 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $29,257.90 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $33,437.60 | ↑ +33% |
| InterGroup | Beech Street | $33,437.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cath plc art ang/grft lt/rt hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12,655.80 | $1,756.25 – $16,874.40 |
| UPMC Carlisle | Carlisle | $7,636.80 | $1,016.56 – $10,818.80 |
| UPMC Community Osteopathic | Harrisburg | $7,636.80 | $1,016.56 – $10,818.80 |
| UPMC East | Monroeville | $9,090.00 | $1,772.97 – $12,120.00 |
| UPMC Northwest | Seneca | $11,503.20 | $2,119.68 – $3,311.78 |
| UPMC Hanover | Hanover | $7,636.80 | $1,016.56 – $6,875.90 |
| UPMC Jameson | New Castle | $4,640.40 | $892.40 – $3,833.07 |
| UPMC Lititz | Lititz | $7,636.80 | $1,016.56 – $6,875.90 |