Place non-slctv cath thoracic arta at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$12,459.00
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.
$20,765.00
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.
$190.76 with UPMC Health Plan vs $16,612.00 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $190.76 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $199.43 | ↓ -98% |
| Aetna | Medicaid | $208.10 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $241.04 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $257.18 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $261.52 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $270.73 | ↓ -98% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $295.54 | ↓ -98% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $923.27 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $1,545.41 | ↓ -88% |
| United Healthcare | Commercial | $2,608.00 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,789.86 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $3,114.75 | ↓ -75% |
| Fidelis | Medicare | $3,463.26 | ↓ -72% |
| Aetna | Medicare | $3,532.53 | ↓ -72% |
| UPMC Health Plan | Partners/Select | $3,535.30 | ↓ -72% |
| Wellcare | Medicare Advantage | $3,567.16 | ↓ -71% |
| BCBS of Western NY | Medicare Advantage | $3,636.42 | ↓ -71% |
| United Healthcare | Medicare | $3,705.69 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,739.97 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,740.32 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $3,740.32 | ↓ -70% |
| Cigna | Medicare | $3,740.32 | ↓ -70% |
| Independent Health | Medicare Advantage | $4,364.40 | ↓ -65% |
| Highmark BCBS of PA | UPMC Emergent | $4,463.74 | ↓ -64% |
| Independent Health | Commercial | $5,097.31 | ↓ -59% |
| Aetna | Commercial | $5,191.25 | ↓ -58% |
| BCBS of Western NY | Commercial | $5,610.03 | ↓ -55% |
| Cigna | NBR ASO/FI | $6,229.50 | ↓ -50% |
| Cigna | New Business ASO | $6,229.50 | ↓ -50% |
| Univera | Commercial | $6,852.45 | ↓ -45% |
| UPMC Health Plan | Commercial | $7,641.52 | ↓ -39% |
| Cigna | EBR | $8,306.00 | ↓ -33% |
| Cigna | Commercial | $8,306.00 | ↓ -33% |
| InterGroup | Health Coalition Partners/PPO | $13,497.25 | ↑ +8% |
| Aetna | AXA/MMO | $14,535.50 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $14,535.50 | ↑ +17% |
| InterGroup | Beech Street | $16,612.00 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $16,612.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Place non-slctv cath thoracic arta at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,316.40 | $173.42 – $5,755.20 |
| UPMC Carlisle | Carlisle | $6,300.60 | $220.24 – $8,925.85 |
| UPMC Community Osteopathic | Harrisburg | $6,360.60 | $220.24 – $8,925.85 |
| UPMC East | Monroeville | $20,784.60 | $190.76 – $27,712.80 |
| UPMC Hanover | Hanover | $6,300.60 | $220.24 – $4,810.90 |
| UPMC Lititz | Lititz | $6,300.60 | $220.24 – $4,836.88 |
| UPMC Magee | Pittsburgh | $15,988.20 | $190.76 – $3,240.82 |
| UPMC Memorial | York | $6,300.60 | $220.24 – $4,829.02 |