Revasc intravasc lithotripsy at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$11,101.80
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.
$18,503.00
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.
$2,498.08 with Highmark BCBS of PA vs $18,163.82 with Independent Health — 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 | $2,498.08 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $2,775.45 | ↓ -75% |
| United Healthcare | Commercial | $2,849.00 | ↓ -74% |
| Aetna | Commercial | $4,625.75 | ↓ -58% |
| Cigna | New Business ASO | $5,550.90 | ↓ -50% |
| Cigna | NBR ASO/FI | $5,550.90 | ↓ -50% |
| Univera | Commercial | $6,105.99 | ↓ -45% |
| BCBS of Western NY | Commercial | $6,476.05 | ↓ -42% |
| UPMC Health Plan | Commercial | $6,809.10 | ↓ -39% |
| Cigna | Commercial | $7,401.20 | ↓ -33% |
| Cigna | EBR | $7,401.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $7,548.53 | ↓ -32% |
| Geisinger | Medicaid/CHIP | $10,176.65 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $10,176.65 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $12,026.95 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $12,077.54 | ↑ +9% |
| Fidelis | Medicare | $12,478.26 | ↑ +12% |
| Aetna | Medicare | $12,727.83 | ↑ +15% |
| UPMC Health Plan | Partners/Select | $12,737.81 | ↑ +15% |
| Wellcare | Medicare Advantage | $12,852.61 | ↑ +16% |
| Aetna | AXA/MMO | $12,952.10 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $12,952.10 | ↑ +17% |
| BCBS of Western NY | Medicare Advantage | $13,102.17 | ↑ +18% |
| United Healthcare | Medicare | $13,351.74 | ↑ +20% |
| Highmark Wholecare (prev Gateway) | Medicare | $13,475.27 | ↑ +21% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13,476.52 | ↑ +21% |
| Cigna | Medicare | $13,476.52 | ↑ +21% |
| AmeriHealth Caritas | Medicare | $13,476.52 | ↑ +21% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $14,802.40 | ↑ +33% |
| InterGroup | Beech Street | $14,802.40 | ↑ +33% |
| Independent Health | Medicare Advantage | $15,725.10 | ↑ +42% |
| Independent Health | Commercial | $18,163.82 | ↑ +64% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Revasc intravasc lithotripsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $11,449.20 | $2,614.23 – $17,357.79 |
| UPMC Community Osteopathic | Harrisburg | $11,449.20 | $3,816.40 – $16,219.70 |
| UPMC Hanover | Hanover | $11,449.20 | $8,482.70 – $17,333.84 |
| UPMC Lititz | Lititz | $11,449.20 | $8,482.70 – $17,427.46 |
| UPMC Memorial | York | $11,449.20 | $2,036.04 – $17,399.15 |
| UPMC Mercy | Pittsburgh | $13,885.80 | $2,498.08 – $11,893.06 |
| UPMC Passavant-McCandless | Pittsburgh | $11,410.20 | $2,521.87 – $11,893.06 |
| UPMC Presbyterian | Pittsburgh | $20,485.80 | $2,521.87 – $11,893.06 |