Placement stent(s) intravascular transcatheter artery initial at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$15,319.20
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.
$25,532.00
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.
$420.05 with UPMC Health Plan vs $20,425.60 with InterGroup — 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 | $420.05 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $439.14 | ↓ -97% |
| Aetna | Medicaid | $458.23 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $530.75 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $566.30 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $575.84 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $596.12 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $650.77 | ↓ -96% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,969.21 | ↓ -87% |
| BCBS of Western NY | Commercial | $2,794.87 | ↓ -82% |
| United Healthcare | Commercial | $3,411.00 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $3,750.33 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $3,829.80 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $5,950.44 | ↓ -61% |
| Aetna | Commercial | $6,383.00 | ↓ -58% |
| Cigna | NBR ASO/FI | $7,659.60 | ↓ -50% |
| Cigna | New Business ASO | $7,659.60 | ↓ -50% |
| Univera | Commercial | $8,425.56 | ↓ -45% |
| Highmark BCBS of PA | UPMC Emergent | $9,520.62 | ↓ -38% |
| Cigna | Commercial | $10,212.80 | ↓ -33% |
| Cigna | EBR | $10,212.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $10,389.97 | ↓ -32% |
| Fidelis | Medicare | $12,478.26 | ↓ -19% |
| Aetna | Medicare | $12,727.83 | ↓ -17% |
| UPMC Health Plan | Partners/Select | $12,737.81 | ↓ -17% |
| Wellcare | Medicare Advantage | $12,852.61 | ↓ -16% |
| BCBS of Western NY | Medicare Advantage | $13,102.17 | ↓ -14% |
| United Healthcare | Medicare | $13,351.74 | ↓ -13% |
| Highmark Wholecare (prev Gateway) | Medicare | $13,475.27 | ↓ -12% |
| Cigna | Medicare | $13,476.52 | ↓ -12% |
| AmeriHealth Caritas | Medicare | $13,476.52 | ↓ -12% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13,476.52 | ↓ -12% |
| Independent Health | Medicare Advantage | $15,725.10 | ↑ +3% |
| InterGroup | Health Coalition Partners/PPO | $16,595.80 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $17,872.40 | ↑ +17% |
| Aetna | AXA/MMO | $17,872.40 | ↑ +17% |
| Independent Health | Commercial | $18,163.82 | ↑ +19% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $20,425.60 | ↑ +33% |
| InterGroup | Beech Street | $20,425.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Placement stent(s) intravascular transcatheter artery initial at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,473.00 | $381.86 – $13,964.00 |
| UPMC Carlisle | Carlisle | $21,745.20 | $484.96 – $30,805.70 |
| UPMC Community Osteopathic | Harrisburg | $21,745.20 | $484.96 – $30,805.70 |
| UPMC East | Monroeville | $13,400.40 | $420.05 – $17,867.20 |
| UPMC Northwest | Seneca | $12,780.00 | $420.05 – $11,352.46 |
| UPMC Hanover | Hanover | $21,745.20 | $484.96 – $17,333.84 |
| UPMC Lititz | Lititz | $21,745.20 | $484.96 – $17,427.46 |
| UPMC Magee | Pittsburgh | $13,400.40 | $420.05 – $11,676.82 |