Filter vena cava fem denali at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$9,405.00
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.
$15,675.00
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.
$765.30 with Univera vs $4,408.21 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 | $765.30 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $816.32 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $911.78 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $969.38 | ↓ -90% |
| Aetna | Commercial | $1,275.50 | ↓ -86% |
| Cigna | New Business ASO | $1,530.60 | ↓ -84% |
| Cigna | NBR ASO/FI | $1,530.60 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,683.66 | ↓ -82% |
| Univera | Commercial | $1,683.66 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $1,683.66 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,726.01 | ↓ -82% |
| BCBS of Western NY | Commercial | $1,785.70 | ↓ -81% |
| UPMC Health Plan | Commercial | $1,877.54 | ↓ -80% |
| Cigna | Commercial | $2,040.80 | ↓ -78% |
| Aetna | Medicare | $2,040.80 | ↓ -78% |
| Cigna | EBR | $2,040.80 | ↓ -78% |
| United Healthcare | Commercial | $2,318.86 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,551.00 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,755.15 | ↓ -71% |
| InterGroup | Health Coalition Partners/PPO | $3,316.30 | ↓ -65% |
| Aetna | AXA/MMO | $3,571.40 | ↓ -62% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,571.40 | ↓ -62% |
| InterGroup | Beech Street | $4,081.60 | ↓ -57% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,081.60 | ↓ -57% |
| Highmark BCBS of PA | UPMC Emergent | $4,408.21 | ↓ -53% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Filter vena cava fem denali at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,116.60 | $691.22 – $5,180.39 |
| UPMC Cole | Coudersport | $1,237.20 | $391.78 – $1,649.60 |
| UPMC Community Osteopathic | Harrisburg | $4,507.80 | $463.80 – $5,180.39 |
| UPMC East | Monroeville | $7,002.60 | $755.44 – $5,180.39 |
| UPMC Northwest | Seneca | $5,991.00 | $2,366.42 – $6,268.74 |
| UPMC Horizon-Greenville | Greenville | $3,822.00 | $2,323.74 – $5,180.39 |
| UPMC Jameson | New Castle | $4,413.00 | $44.84 – $5,180.39 |
| UPMC Kane | Kane | $2,689.20 | $3,814.71 – $3,814.71 |