Lithotripsy transluminal coronary percutaneous at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$281.40
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.
$469.00
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.
$51.15 with Highmark BCBS of PA vs $375.20 with Multiplan — 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 | $51.15 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $70.35 | ↓ -75% |
| Aetna | Commercial | $117.25 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $134.25 | ↓ -52% |
| Cigna | New Business ASO | $140.70 | ↓ -50% |
| Cigna | NBR ASO/FI | $140.70 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $154.57 | ↓ -45% |
| Univera | Commercial | $154.77 | ↓ -45% |
| BCBS of Western NY | Commercial | $164.15 | ↓ -42% |
| UPMC Health Plan | Commercial | $172.59 | ↓ -39% |
| Aetna | Medicare | $187.60 | ↓ -33% |
| Cigna | EBR | $187.60 | ↓ -33% |
| Cigna | Commercial | $187.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $234.50 | ↓ -17% |
| Highmark BCBS of PA | UPMC Emergent | $247.32 | ↓ -12% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $257.95 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $257.95 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $304.85 | ↑ +8% |
| Aetna | AXA/MMO | $328.30 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $328.30 | ↑ +17% |
| InterGroup | Beech Street | $375.20 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $375.20 | ↑ +33% |
Visitor-reported prices
Comments
Lithotripsy transluminal coronary percutaneous at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,182.60 | $51.15 – $13,576.80 |
| UPMC Carlisle | Carlisle | $5,071.20 | $140.49 – $7,184.20 |
| UPMC Community Osteopathic | Harrisburg | $5,071.20 | $140.49 – $7,184.20 |
| UPMC East | Monroeville | $11,297.40 | $51.64 – $15,063.20 |
| UPMC Hanover | Hanover | $5,071.20 | $140.49 – $140.49 |
| UPMC Jameson | New Castle | $11,088.60 | $52.06 – $134.25 |
| UPMC Lititz | Lititz | $5,071.20 | $128.78 – $140.49 |
| UPMC Memorial | York | $5,071.20 | $41.69 – $140.49 |