Trnscath retrv pq vasc fb w/guide at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$7,031.40
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.
$11,719.00
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.
$266.53 with UPMC Health Plan vs $12,266.06 with UPMC Health Plan — 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 | $266.53 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $278.64 | ↓ -96% |
| Aetna | Medicaid | $290.76 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $336.77 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $359.33 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $365.39 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $378.25 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $412.93 | ↓ -94% |
| Univera | Univera_Medicare_Hamot_2024 | $1,757.85 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $2,097.04 | ↓ -70% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,341.94 | ↓ -67% |
| United Healthcare | Commercial | $2,608.00 | ↓ -63% |
| BCBS of Western NY | Commercial | $2,794.87 | ↓ -60% |
| Aetna | Commercial | $2,929.75 | ↓ -58% |
| Fidelis | Medicare | $3,463.26 | ↓ -51% |
| Cigna | NBR ASO/FI | $3,515.70 | ↓ -50% |
| Cigna | New Business ASO | $3,515.70 | ↓ -50% |
| Aetna | Medicare | $3,532.53 | ↓ -50% |
| UPMC Health Plan | Partners/Select | $3,535.30 | ↓ -50% |
| Wellcare | Medicare Advantage | $3,567.16 | ↓ -49% |
| BCBS of Western NY | Medicare Advantage | $3,636.42 | ↓ -48% |
| United Healthcare | Medicare | $3,705.69 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,739.97 | ↓ -47% |
| Cigna | Medicare | $3,740.32 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,740.32 | ↓ -47% |
| AmeriHealth Caritas | Medicare | $3,740.32 | ↓ -47% |
| Univera | Commercial | $3,867.27 | ↓ -45% |
| Independent Health | Medicare Advantage | $4,364.40 | ↓ -38% |
| Cigna | Commercial | $4,687.60 | ↓ -33% |
| Cigna | EBR | $4,687.60 | ↓ -33% |
| Independent Health | Commercial | $5,097.31 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $7,076.72 | ↑ +1% |
| InterGroup | Health Coalition Partners/PPO | $7,617.35 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,203.30 | ↑ +17% |
| Aetna | AXA/MMO | $8,203.30 | ↑ +17% |
| InterGroup | Beech Street | $9,375.20 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $9,375.20 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $11,322.65 | ↑ +61% |
| UPMC Health Plan | Commercial | $12,266.06 | ↑ +74% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Trnscath retrv pq vasc fb w/guide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,317.20 | $242.30 – $7,089.60 |
| UPMC Carlisle | Carlisle | $7,288.20 | $307.72 – $10,324.95 |
| UPMC Community Osteopathic | Harrisburg | $7,288.20 | $307.72 – $10,324.95 |
| UPMC East | Monroeville | $13,363.80 | $266.53 – $17,818.40 |
| UPMC Northwest | Seneca | $6,120.00 | $266.53 – $3,150.80 |
| UPMC Hanover | Hanover | $7,288.20 | $307.72 – $4,810.90 |
| UPMC Lititz | Lititz | $7,288.20 | $307.72 – $4,836.88 |
| UPMC Magee | Pittsburgh | $7,321.20 | $266.53 – $3,240.82 |