Trnscath tx thromblytc artery non-intracrn ini day at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$6,346.80
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.
$10,578.00
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.
$345.16 with Highmark BCBS of PA vs $8,794.63 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 | $345.16 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $356.24 | ↓ -94% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $372.43 | ↓ -94% |
| Aetna | Medicaid | $388.62 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $450.12 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $480.27 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $488.37 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $505.56 | ↓ -92% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $551.91 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $577.77 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,042.98 | ↓ -84% |
| Univera | Univera_Medicare_Hamot_2024 | $1,586.70 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $1,668.76 | ↓ -74% |
| Aetna | Commercial | $2,644.50 | ↓ -58% |
| BCBS of Western NY | Commercial | $2,794.87 | ↓ -56% |
| United Healthcare | Commercial | $2,849.00 | ↓ -55% |
| Cigna | New Business ASO | $3,173.40 | ↓ -50% |
| Cigna | NBR ASO/FI | $3,173.40 | ↓ -50% |
| Univera | Commercial | $3,490.74 | ↓ -45% |
| UPMC Health Plan | Commercial | $3,892.70 | ↓ -39% |
| Cigna | Commercial | $4,231.20 | ↓ -33% |
| Cigna | EBR | $4,231.20 | ↓ -33% |
| Fidelis | Medicare | $5,948.00 | ↓ -6% |
| Aetna | Medicare | $6,066.96 | ↓ -4% |
| UPMC Health Plan | Partners/Select | $6,071.72 | ↓ -4% |
| Wellcare | Medicare Advantage | $6,126.44 | ↓ -3% |
| BCBS of Western NY | Medicare Advantage | $6,245.40 | ↓ -2% |
| United Healthcare | Medicare | $6,364.36 | ↑ +0% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,423.25 | ↑ +1% |
| AmeriHealth Caritas | Medicare | $6,423.84 | ↑ +1% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,423.84 | ↑ +1% |
| Cigna | Medicare | $6,423.84 | ↑ +1% |
| InterGroup | Health Coalition Partners/PPO | $6,875.70 | ↑ +8% |
| Aetna | AXA/MMO | $7,404.60 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $7,404.60 | ↑ +17% |
| Independent Health | Medicare Advantage | $7,495.67 | ↑ +18% |
| InterGroup | Beech Street | $8,462.40 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $8,462.40 | ↑ +33% |
| Independent Health | Commercial | $8,794.63 | ↑ +39% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Trnscath tx thromblytc artery non-intracrn ini day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,252.40 | $323.85 – $3,003.20 |
| UPMC Carlisle | Carlisle | $6,966.60 | $411.29 – $9,869.35 |
| UPMC Community Osteopathic | Harrisburg | $6,966.60 | $437.20 – $9,869.35 |
| UPMC East | Monroeville | $14,086.20 | $348.45 – $18,781.60 |
| UPMC Northwest | Seneca | $8,554.80 | $356.24 – $5,411.37 |
| UPMC Hanover | Hanover | $6,966.60 | $411.29 – $8,262.51 |
| UPMC Jameson | New Castle | $5,764.20 | $351.25 – $6,957.48 |
| UPMC Lititz | Lititz | $6,966.60 | $411.29 – $8,307.14 |