Coronary art/grft angio s&i at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$12,250.20
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.
$20,417.00
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.
$1,277.57 with Highmark BCBS of PA vs $16,333.60 with InterGroup — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,277.57 | ↓ -90% |
| UPMC Work Partners | Workers Comp | $1,512.38 | ↓ -88% |
| UPMC Health Plan | Commercial | $1,982.09 | ↓ -84% |
| United Healthcare | Commercial | $2,815.00 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $3,062.55 | ↓ -75% |
| Fidelis | Medicare | $3,539.08 | ↓ -71% |
| BCBS of Western NY | Commercial | $3,547.20 | ↓ -71% |
| Aetna | Medicare | $3,609.86 | ↓ -71% |
| UPMC Health Plan | Partners/Select | $3,612.69 | ↓ -71% |
| Wellcare | Medicare Advantage | $3,645.25 | ↓ -70% |
| BCBS of Western NY | Medicare Advantage | $3,716.03 | ↓ -70% |
| United Healthcare | Medicare | $3,786.82 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,821.85 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,822.21 | ↓ -69% |
| AmeriHealth Caritas | Medicare | $3,822.21 | ↓ -69% |
| Cigna | Medicare | $3,822.21 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $3,860.48 | ↓ -68% |
| Independent Health | Medicare Advantage | $4,459.95 | ↓ -64% |
| Independent Health | Commercial | $5,062.22 | ↓ -59% |
| Aetna | Commercial | $5,104.25 | ↓ -58% |
| Cigna | New Business ASO | $6,125.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $6,125.10 | ↓ -50% |
| Highmark BCBS of PA | UPMC Emergent | $6,176.72 | ↓ -50% |
| Univera | Commercial | $6,737.61 | ↓ -45% |
| Cigna | Commercial | $8,166.80 | ↓ -33% |
| Cigna | EBR | $8,166.80 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $11,229.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $11,229.35 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $13,271.05 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $14,291.90 | ↑ +17% |
| Aetna | AXA/MMO | $14,291.90 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $16,333.60 | ↑ +33% |
| InterGroup | Beech Street | $16,333.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Coronary art/grft angio s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,002.00 | $1,277.57 – $13,336.00 |
| UPMC Carlisle | Carlisle | $5,553.60 | $1,016.56 – $7,867.60 |
| UPMC Community Osteopathic | Harrisburg | $5,553.60 | $1,016.56 – $7,867.60 |
| UPMC East | Monroeville | $6,611.40 | $1,289.74 – $8,815.20 |
| UPMC Hanover | Hanover | $5,553.60 | $1,016.56 – $4,916.22 |
| UPMC Jameson | New Castle | $4,585.80 | $892.40 – $3,833.07 |
| UPMC Lititz | Lititz | $5,553.60 | $1,016.56 – $4,942.77 |
| UPMC Magee | Pittsburgh | $9,857.40 | $1,289.74 – $3,373.11 |