Transcatheter bx s&i at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,911.60
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.
$3,186.00
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.
$19.25 with UPMC Health Plan vs $2,617.32 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 | $19.25 | ↓ -99% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $20.12 | ↓ -99% |
| Aetna | Medicaid | $21.00 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $24.32 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $25.95 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $26.39 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.32 | ↓ -99% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $29.82 | ↓ -98% |
| Univera | Univera_Medicare_Hamot_2024 | $477.90 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $541.36 | ↓ -72% |
| Aetna | Commercial | $796.50 | ↓ -58% |
| UPMC Health Plan | Commercial | $859.53 | ↓ -55% |
| Cigna | NBR ASO/FI | $955.80 | ↓ -50% |
| Cigna | New Business ASO | $955.80 | ↓ -50% |
| Univera | Commercial | $1,051.38 | ↓ -45% |
| BCBS of Western NY | Commercial | $1,126.65 | ↓ -41% |
| UPMC Work Partners | Workers Comp | $1,174.76 | ↓ -39% |
| Cigna | Commercial | $1,274.40 | ↓ -33% |
| Aetna | Medicare | $1,274.40 | ↓ -33% |
| Cigna | EBR | $1,274.40 | ↓ -33% |
| United Healthcare | Commercial | $1,448.04 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,593.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,635.84 | ↓ -14% |
| InterGroup | Health Coalition Partners/PPO | $2,070.90 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,230.20 | ↑ +17% |
| Aetna | AXA/MMO | $2,230.20 | ↑ +17% |
| InterGroup | Beech Street | $2,548.80 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,548.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $2,617.32 | ↑ +37% |
Visitor-reported prices
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Transcatheter bx s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,331.20 | $10.00 – $4,441.60 |
| UPMC Carlisle | Carlisle | $6,169.80 | $13.10 – $8,740.55 |
| UPMC Community Osteopathic | Harrisburg | $6,169.80 | $13.10 – $8,740.55 |
| UPMC Hanover | Hanover | $6,169.80 | $13.10 – $1,137.12 |
| UPMC Lititz | Lititz | $6,169.80 | $13.10 – $1,119.67 |
| UPMC Magee | Pittsburgh | $2,271.60 | $19.25 – $1,174.76 |
| UPMC Memorial | York | $6,169.80 | $13.10 – $3,108.22 |
| UPMC Mercy | Pittsburgh | $2,360.40 | $19.25 – $1,195.62 |