Thrombectomy/inf pq dialysis circuit w/stent plcmnt at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,865.60
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.
$4,776.00
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.
$451.26 with UPMC Health Plan vs $29,392.54 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $451.26 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $471.78 | ↓ -84% |
| Aetna | Medicaid | $492.29 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $570.19 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $608.39 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $618.64 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $640.43 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $699.13 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $716.40 | ↓ -75% |
| Aetna | Commercial | $1,194.00 | ↓ -58% |
| Cigna | NBR ASO/FI | $1,432.80 | ↓ -50% |
| Cigna | New Business ASO | $1,432.80 | ↓ -50% |
| Univera | Commercial | $1,576.08 | ↓ -45% |
| UPMC Health Plan | Commercial | $1,757.57 | ↓ -39% |
| Cigna | Commercial | $1,910.40 | ↓ -33% |
| Cigna | EBR | $1,910.40 | ↓ -33% |
| BCBS of Western NY | Commercial | $2,177.52 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $3,104.40 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,343.20 | ↑ +17% |
| Aetna | AXA/MMO | $3,343.20 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $3,820.80 | ↑ +33% |
| InterGroup | Beech Street | $3,820.80 | ↑ +33% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,173.41 | ↑ +46% |
| United Healthcare | Commercial | $8,343.00 | ↑ +191% |
| UPMC Work Partners | Workers Comp | $8,469.31 | ↑ +196% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $12,610.95 | ↑ +340% |
| Fidelis | Medicare | $19,758.14 | ↑ +589% |
| Aetna | Medicare | $20,153.30 | ↑ +603% |
| UPMC Health Plan | Partners/Select | $20,169.11 | ↑ +604% |
| Highmark BCBS of PA | UPMC Emergent | $20,177.34 | ↑ +604% |
| Wellcare | Medicare Advantage | $20,350.88 | ↑ +610% |
| BCBS of Western NY | Medicare Advantage | $20,746.05 | ↑ +624% |
| United Healthcare | Medicare | $21,141.21 | ↑ +638% |
| Highmark Wholecare (prev Gateway) | Medicare | $21,336.82 | ↑ +645% |
| Cigna | Medicare | $21,338.79 | ↑ +645% |
| AmeriHealth Caritas | Medicare | $21,338.79 | ↑ +645% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21,338.79 | ↑ +645% |
| Independent Health | Medicare Advantage | $24,899.21 | ↑ +769% |
| Independent Health | Commercial | $29,392.54 | ↑ +926% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/stent plcmnt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $24,300.00 | $521.00 – $34,425.00 |
| UPMC Community Osteopathic | Harrisburg | $24,300.00 | $521.00 – $34,425.00 |
| UPMC East | Monroeville | $4,951.20 | $451.26 – $17,975.56 |
| UPMC Hanover | Hanover | $24,300.00 | $521.00 – $27,446.48 |
| UPMC Lititz | Lititz | $24,300.00 | $521.00 – $27,594.74 |
| UPMC Magee | Pittsburgh | $2,467.80 | $451.26 – $18,489.15 |
| UPMC Memorial | York | $24,300.00 | $521.00 – $27,549.92 |
| UPMC Mercy | Pittsburgh | $4,405.80 | $451.26 – $18,831.54 |