Stent iliac/open or perc/uni/init 37221 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$17,695.80
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.
$29,493.00
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.
$468.05 with UPMC Health Plan vs $40,557.34 with Highmark BCBS of PA — 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 | $468.05 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $489.32 | ↓ -97% |
| Aetna | Medicaid | $510.60 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $591.40 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $631.02 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $641.65 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $664.25 | ↓ -96% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $725.14 | ↓ -96% |
| BCBS of Western NY | Commercial | $2,794.87 | ↓ -84% |
| United Healthcare | Commercial | $3,411.00 | ↓ -81% |
| Univera | Univera_Medicare_Hamot_2024 | $4,423.95 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $6,886.55 | ↓ -61% |
| Aetna | Commercial | $7,373.25 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $8,388.75 | ↓ -53% |
| Cigna | NBR ASO/FI | $8,847.90 | ↓ -50% |
| Cigna | New Business ASO | $8,847.90 | ↓ -50% |
| Univera | Commercial | $9,732.69 | ↓ -45% |
| Cigna | EBR | $11,797.20 | ↓ -33% |
| Aetna | Medicare | $11,797.20 | ↓ -33% |
| Cigna | Commercial | $11,797.20 | ↓ -33% |
| Fidelis | Medicare | $12,478.26 | ↓ -29% |
| UPMC Health Plan | Partners/Select | $12,737.81 | ↓ -28% |
| Wellcare | Medicare Advantage | $12,852.61 | ↓ -27% |
| BCBS of Western NY | Medicare Advantage | $13,102.17 | ↓ -26% |
| United Healthcare | Medicare | $13,351.74 | ↓ -25% |
| Highmark Wholecare (prev Gateway) | Medicare | $13,475.27 | ↓ -24% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13,476.52 | ↓ -24% |
| AmeriHealth Caritas | Medicare | $13,476.52 | ↓ -24% |
| Cigna | Medicare | $13,476.52 | ↓ -24% |
| UPMC Health Plan | Commercial | $14,153.96 | ↓ -20% |
| Independent Health | Medicare Advantage | $15,725.10 | ↓ -11% |
| Independent Health | Commercial | $18,163.82 | ↑ +3% |
| InterGroup | Health Coalition Partners/PPO | $19,170.45 | ↑ +8% |
| Aetna | AXA/MMO | $20,645.10 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $20,645.10 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $23,594.40 | ↑ +33% |
| InterGroup | Beech Street | $23,594.40 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $25,348.56 | ↑ +43% |
| Highmark BCBS of PA | UPMC Emergent | $40,557.34 | ↑ +129% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Stent iliac/open or perc/uni/init 37221 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $19,532.40 | $6,886.55 – $26,043.20 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $35,121.00 | $6,886.55 – $46,828.00 |
| UPMC Northwest | Seneca | $21,381.00 | $5,385.45 – $11,676.82 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $17,333.84 |
| UPMC Jameson | New Castle | $16,973.40 | $892.40 – $14,596.02 |
| UPMC Lititz | Lititz | $17,281.80 | $1,016.56 – $17,427.46 |