Venous m-thrombectomy add-on at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$9,483.00
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.
$15,805.00
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.
$2,370.75 with Univera vs $21,138.75 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $2,370.75 | ↓ -75% |
| United Healthcare | Commercial | $2,608.00 | ↓ -72% |
| Fidelis | Medicare | $3,463.26 | ↓ -63% |
| Aetna | Medicare | $3,532.53 | ↓ -63% |
| UPMC Health Plan | Partners/Select | $3,535.30 | ↓ -63% |
| Wellcare | Medicare Advantage | $3,567.16 | ↓ -62% |
| BCBS of Western NY | Medicare Advantage | $3,636.42 | ↓ -62% |
| United Healthcare | Medicare | $3,705.69 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,739.97 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,740.32 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $3,740.32 | ↓ -61% |
| Cigna | Medicare | $3,740.32 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $3,947.32 | ↓ -58% |
| Aetna | Commercial | $3,951.25 | ↓ -58% |
| Independent Health | Medicare Advantage | $4,364.40 | ↓ -54% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $4,372.27 | ↓ -54% |
| Cigna | NBR ASO/FI | $4,741.50 | ↓ -50% |
| Cigna | New Business ASO | $4,741.50 | ↓ -50% |
| Independent Health | Commercial | $5,097.31 | ↓ -46% |
| Univera | Commercial | $5,215.65 | ↓ -45% |
| BCBS of Western NY | Commercial | $5,610.03 | ↓ -41% |
| UPMC Health Plan | Commercial | $5,816.24 | ↓ -39% |
| Cigna | Commercial | $6,322.00 | ↓ -33% |
| Cigna | EBR | $6,322.00 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8,692.75 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $8,692.75 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $10,273.25 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $11,063.50 | ↑ +17% |
| Aetna | AXA/MMO | $11,063.50 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $12,644.00 | ↑ +33% |
| InterGroup | Beech Street | $12,644.00 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $13,211.84 | ↑ +39% |
| Highmark BCBS of PA | UPMC Emergent | $21,138.75 | ↑ +123% |
Visitor-reported prices
Comments
Venous m-thrombectomy add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $28,122.00 | $3,060.18 – $37,496.00 |
| UPMC Carlisle | Carlisle | $10,522.80 | $1,016.56 – $14,907.30 |
| UPMC Community Osteopathic | Harrisburg | $10,522.80 | $1,016.56 – $14,907.30 |
| UPMC Hanover | Hanover | $10,522.80 | $1,016.56 – $4,810.90 |
| UPMC Lititz | Lititz | $10,522.80 | $1,016.56 – $4,836.88 |
| UPMC Magee | Pittsburgh | $18,520.20 | $2,808.41 – $4,413.90 |
| UPMC Memorial | York | $10,522.80 | $1,016.56 – $4,829.02 |
| UPMC Mercy | Pittsburgh | $10,537.20 | $2,501.43 – $4,765.19 |