Revasc intra lithotrip-stent at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$22,204.20
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.
$37,007.00
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.
$3,411.00 with United Healthcare vs $29,605.60 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 |
|---|---|---|---|
| United Healthcare | Commercial | $3,411.00 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,253.12 | ↓ -81% |
| Univera | Univera_Medicare_Hamot_2024 | $5,551.05 | ↓ -75% |
| Aetna | Commercial | $9,251.75 | ↓ -58% |
| Cigna | New Business ASO | $11,102.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $11,102.10 | ↓ -50% |
| Univera | Commercial | $12,212.31 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $12,851.80 | ↓ -42% |
| BCBS of Western NY | Commercial | $12,952.45 | ↓ -42% |
| UPMC Health Plan | Commercial | $13,618.58 | ↓ -39% |
| Cigna | Commercial | $14,802.80 | ↓ -33% |
| Cigna | EBR | $14,802.80 | ↓ -33% |
| Fidelis | Medicare | $19,758.14 | ↓ -11% |
| Aetna | Medicare | $20,153.30 | ↓ -9% |
| UPMC Health Plan | Partners/Select | $20,169.11 | ↓ -9% |
| Wellcare | Medicare Advantage | $20,350.88 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $20,353.85 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20,353.85 | ↓ -8% |
| Highmark BCBS of PA | UPMC Emergent | $20,562.70 | ↓ -7% |
| BCBS of Western NY | Medicare Advantage | $20,746.05 | ↓ -7% |
| United Healthcare | Medicare | $21,141.21 | ↓ -5% |
| Highmark Wholecare (prev Gateway) | Medicare | $21,336.82 | ↓ -4% |
| AmeriHealth Caritas | Medicare | $21,338.79 | ↓ -4% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21,338.79 | ↓ -4% |
| Cigna | Medicare | $21,338.79 | ↓ -4% |
| InterGroup | Health Coalition Partners/PPO | $24,054.55 | ↑ +8% |
| Independent Health | Medicare Advantage | $24,899.21 | ↑ +12% |
| Multiplan | PPO (Includes PHCS as a Payer) | $25,904.90 | ↑ +17% |
| Aetna | AXA/MMO | $25,904.90 | ↑ +17% |
| Independent Health | Commercial | $29,392.54 | ↑ +32% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $29,605.60 | ↑ +33% |
| InterGroup | Beech Street | $29,605.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Revasc intra lithotrip-stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $22,899.00 | $5,228.60 – $32,440.25 |
| UPMC Community Osteopathic | Harrisburg | $22,899.00 | $4,374.00 – $32,440.25 |
| UPMC Hanover | Hanover | $22,899.00 | $13,726.63 – $27,446.48 |
| UPMC Lititz | Lititz | $22,899.00 | $13,726.63 – $27,594.74 |
| UPMC Memorial | York | $22,899.00 | $3,466.47 – $27,549.92 |
| UPMC Mercy | Pittsburgh | $23,640.60 | $4,253.12 – $18,831.54 |
| UPMC Passavant-McCandless | Pittsburgh | $22,821.00 | $4,293.62 – $18,831.54 |
| UPMC Somerset | Somerset | $22,899.00 | $4,210.10 – $18,487.43 |