Plcmnt ureteral stent pq w/img exstng trct at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$5,139.60
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.
$8,566.00
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.
$707.65 with Highmark BCBS of PA vs $6,852.80 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $707.65 | ↓ -86% |
| Univera | Univera_Medicare_Hamot_2024 | $1,284.90 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $1,355.34 | ↓ -74% |
| BCBS of Western NY | Commercial | $1,572.66 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $2,138.32 | ↓ -58% |
| Aetna | Commercial | $2,141.50 | ↓ -58% |
| Cigna | NBR ASO/FI | $2,569.80 | ↓ -50% |
| Cigna | New Business ASO | $2,569.80 | ↓ -50% |
| United Healthcare | Commercial | $2,608.00 | ↓ -49% |
| Univera | Commercial | $2,826.78 | ↓ -45% |
| UPMC Health Plan | Commercial | $3,152.29 | ↓ -39% |
| Highmark BCBS of PA | UPMC Emergent | $3,421.27 | ↓ -33% |
| Cigna | Commercial | $3,426.40 | ↓ -33% |
| Cigna | EBR | $3,426.40 | ↓ -33% |
| Fidelis | Medicare | $3,794.97 | ↓ -26% |
| Aetna | Medicare | $3,870.87 | ↓ -25% |
| UPMC Health Plan | Partners/Select | $3,873.91 | ↓ -25% |
| Wellcare | Medicare Advantage | $3,908.82 | ↓ -24% |
| BCBS of Western NY | Medicare Advantage | $3,984.72 | ↓ -22% |
| United Healthcare | Medicare | $4,060.62 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,098.19 | ↓ -20% |
| Cigna | Medicare | $4,098.57 | ↓ -20% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4,098.57 | ↓ -20% |
| AmeriHealth Caritas | Medicare | $4,098.57 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $4,711.30 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $4,711.30 | ↓ -8% |
| Independent Health | Medicare Advantage | $4,782.42 | ↓ -7% |
| Independent Health | Commercial | $5,484.28 | ↑ +7% |
| InterGroup | Health Coalition Partners/PPO | $5,567.90 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,996.20 | ↑ +17% |
| Aetna | AXA/MMO | $5,996.20 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $6,852.80 | ↑ +33% |
| InterGroup | Beech Street | $6,852.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Plcmnt ureteral stent pq w/img exstng trct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,641.60 | $707.65 – $6,188.80 |
| UPMC Carlisle | Carlisle | $7,729.80 | $1,016.56 – $10,950.55 |
| UPMC Community Osteopathic | Harrisburg | $7,729.80 | $1,016.56 – $10,950.55 |
| UPMC East | Monroeville | $4,879.80 | $714.38 – $6,506.40 |
| UPMC Northwest | Seneca | $4,913.40 | $1,355.34 – $3,551.23 |
| UPMC Hanover | Hanover | $7,729.80 | $1,016.56 – $5,271.68 |
| UPMC Jameson | New Castle | $3,688.80 | $720.13 – $4,439.04 |
| UPMC Lititz | Lititz | $7,729.80 | $1,016.56 – $5,300.16 |