Declotting thrombolytic agent implanted vas access device 36 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$294.60
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.
$491.00
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.
$27.57 with UPMC Health Plan vs $638.53 with UPMC Health Plan — 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 | $27.57 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $28.82 | ↓ -90% |
| Aetna | Medicaid | $30.07 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $34.83 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $37.16 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $37.79 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.12 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $42.71 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $55.33 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $63.40 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $73.65 | ↓ -75% |
| Aetna | Commercial | $122.75 | ↓ -58% |
| Cigna | NBR ASO/FI | $147.30 | ↓ -50% |
| Cigna | New Business ASO | $147.30 | ↓ -50% |
| Univera | Commercial | $162.03 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $191.59 | ↓ -35% |
| Aetna | Medicare | $196.40 | ↓ -33% |
| Cigna | EBR | $196.40 | ↓ -33% |
| Cigna | Commercial | $196.40 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $245.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $306.54 | ↑ +4% |
| InterGroup | Health Coalition Partners/PPO | $319.15 | ↑ +8% |
| United Healthcare | Commercial | $340.00 | ↑ +15% |
| Multiplan | PPO (Includes PHCS as a Payer) | $343.70 | ↑ +17% |
| Aetna | AXA/MMO | $343.70 | ↑ +17% |
| Fidelis | Medicare | $364.97 | ↑ +24% |
| UPMC Health Plan | Partners/Select | $372.56 | ↑ +26% |
| Wellcare | Medicare Advantage | $375.92 | ↑ +28% |
| BCBS of Western NY | Medicare Advantage | $383.22 | ↑ +30% |
| United Healthcare | Medicare | $390.52 | ↑ +33% |
| InterGroup | Beech Street | $392.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $392.80 | ↑ +33% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $394.17 | ↑ +34% |
| AmeriHealth Caritas | Medicare | $394.17 | ↑ +34% |
| Cigna | Medicare | $394.17 | ↑ +34% |
| Independent Health | Medicare Advantage | $459.65 | ↑ +56% |
| BCBS of Western NY | Commercial | $494.99 | ↑ +68% |
| Independent Health | Commercial | $569.15 | ↑ +93% |
| UPMC Health Plan | Commercial | $638.53 | ↑ +117% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Declotting thrombolytic agent implanted vas access device 36 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $496.80 | $25.06 – $662.40 |
| UPMC Bedford | Everett | $393.60 | $26.31 – $590.40 |
| UPMC Carlisle | Carlisle | $740.40 | $31.83 – $1,048.90 |
| UPMC Cole | Coudersport | $100.80 | $18.57 – $98.03 |
| UPMC Community Osteopathic | Harrisburg | $740.40 | $31.83 – $1,048.90 |
| UPMC East | Monroeville | $266.40 | $27.57 – $355.20 |
| UPMC Northwest | Seneca | $381.60 | $27.57 – $332.04 |
| UPMC Hanover | Hanover | $740.40 | $31.83 – $506.98 |