Transcath occlusion non-cns at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$9,757.80
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.
$16,263.00
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.
$1,595.32 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 | $1,595.32 | ↓ -84% |
| Univera | Univera_Medicare_Hamot_2024 | $2,439.45 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $2,779.74 | ↓ -72% |
| BCBS of Western NY | Commercial | $2,794.87 | ↓ -71% |
| United Healthcare | Commercial | $3,411.00 | ↓ -65% |
| Aetna | Commercial | $4,065.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $4,820.62 | ↓ -51% |
| Cigna | New Business ASO | $4,878.90 | ↓ -50% |
| Cigna | NBR ASO/FI | $4,878.90 | ↓ -50% |
| UPMC Health Plan | Commercial | $5,090.42 | ↓ -48% |
| Univera | Commercial | $5,366.79 | ↓ -45% |
| Cigna | EBR | $6,505.20 | ↓ -33% |
| Cigna | Commercial | $6,505.20 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $7,712.92 | ↓ -21% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8,944.65 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $8,944.65 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $10,570.95 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $11,384.10 | ↑ +17% |
| Aetna | AXA/MMO | $11,384.10 | ↑ +17% |
| Fidelis | Medicare | $12,478.26 | ↑ +28% |
| Aetna | Medicare | $12,727.83 | ↑ +30% |
| UPMC Health Plan | Partners/Select | $12,737.81 | ↑ +31% |
| Wellcare | Medicare Advantage | $12,852.61 | ↑ +32% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $13,010.40 | ↑ +33% |
| InterGroup | Beech Street | $13,010.40 | ↑ +33% |
| BCBS of Western NY | Medicare Advantage | $13,102.17 | ↑ +34% |
| United Healthcare | Medicare | $13,351.74 | ↑ +37% |
| Highmark Wholecare (prev Gateway) | Medicare | $13,475.27 | ↑ +38% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13,476.52 | ↑ +38% |
| Cigna | Medicare | $13,476.52 | ↑ +38% |
| AmeriHealth Caritas | Medicare | $13,476.52 | ↑ +38% |
| Independent Health | Medicare Advantage | $15,725.10 | ↑ +61% |
| Independent Health | Commercial | $18,163.82 | ↑ +86% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Transcath occlusion non-cns at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,416.60 | $1,595.32 – $13,888.80 |
| UPMC Carlisle | Carlisle | $15,019.80 | $1,016.56 – $21,278.05 |
| UPMC Community Osteopathic | Harrisburg | $15,162.00 | $1,016.56 – $21,278.05 |
| UPMC Hanover | Hanover | $15,019.80 | $1,016.56 – $17,333.84 |
| UPMC Lititz | Lititz | $15,019.80 | $1,016.56 – $17,427.46 |
| UPMC Memorial | York | $15,019.80 | $1,016.56 – $17,399.15 |
| UPMC Mercy | Pittsburgh | $9,294.60 | $1,595.32 – $11,893.06 |
| UPMC Presbyterian | Pittsburgh | $8,733.00 | $931.20 – $11,893.06 |