Intro cath dialysis circuit w/pta at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$5,144.40
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.
$8,574.00
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.
$195.43 with UPMC Health Plan vs $8,924.05 with Independent Health — 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 | $195.43 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $204.31 | ↓ -96% |
| Aetna | Medicaid | $213.19 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $246.93 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $263.47 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $267.91 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $277.35 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $302.77 | ↓ -94% |
| BCBS of Western NY | Commercial | $509.87 | ↓ -90% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $755.06 | ↓ -85% |
| Univera | Univera_Medicare_Hamot_2024 | $1,286.10 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $1,532.28 | ↓ -70% |
| Aetna | Commercial | $2,143.50 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,281.60 | ↓ -56% |
| UPMC Health Plan | Commercial | $2,370.35 | ↓ -54% |
| Cigna | New Business ASO | $2,572.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $2,572.20 | ↓ -50% |
| Univera | Commercial | $2,829.42 | ↓ -45% |
| United Healthcare | Commercial | $2,849.00 | ↓ -45% |
| Cigna | EBR | $3,429.60 | ↓ -33% |
| Cigna | Commercial | $3,429.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $3,650.53 | ↓ -29% |
| InterGroup | Health Coalition Partners/PPO | $5,573.10 | ↑ +8% |
| Aetna | AXA/MMO | $6,001.80 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,001.80 | ↑ +17% |
| Fidelis | Medicare | $6,273.50 | ↑ +22% |
| Aetna | Medicare | $6,398.97 | ↑ +24% |
| UPMC Health Plan | Partners/Select | $6,403.99 | ↑ +24% |
| Wellcare | Medicare Advantage | $6,461.70 | ↑ +26% |
| BCBS of Western NY | Medicare Advantage | $6,587.18 | ↑ +28% |
| United Healthcare | Medicare | $6,712.65 | ↑ +30% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,774.75 | ↑ +32% |
| AmeriHealth Caritas | Medicare | $6,775.38 | ↑ +32% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,775.38 | ↑ +32% |
| Cigna | Medicare | $6,775.38 | ↑ +32% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $6,859.20 | ↑ +33% |
| InterGroup | Beech Street | $6,859.20 | ↑ +33% |
| Independent Health | Medicare Advantage | $7,905.86 | ↑ +54% |
| Independent Health | Commercial | $8,924.05 | ↑ +73% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/pta at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,684.20 | $177.66 – $10,245.60 |
| UPMC Carlisle | Carlisle | $12,150.60 | $225.63 – $17,213.35 |
| UPMC Community Osteopathic | Harrisburg | $12,150.60 | $225.63 – $17,213.35 |
| UPMC East | Monroeville | $7,523.40 | $195.43 – $10,031.20 |
| UPMC Northwest | Seneca | $8,154.60 | $195.43 – $5,707.51 |
| UPMC Hanover | Hanover | $12,150.60 | $225.63 – $8,714.66 |
| UPMC Lititz | Lititz | $12,150.60 | $225.63 – $8,761.73 |
| UPMC Magee | Pittsburgh | $6,959.40 | $195.43 – $5,870.58 |