Venous mech thrombectomy at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$10,687.20
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.
$17,812.00
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.
$2,671.80 with Univera vs $24,495.59 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 | $2,671.80 | ↓ -75% |
| United Healthcare | Commercial | $2,849.00 | ↓ -73% |
| Aetna | Commercial | $4,453.00 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $4,574.16 | ↓ -57% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5,066.59 | ↓ -53% |
| Cigna | NBR ASO/FI | $5,343.60 | ↓ -50% |
| Cigna | New Business ASO | $5,343.60 | ↓ -50% |
| BCBS of Western NY | Commercial | $5,610.03 | ↓ -48% |
| Univera | Commercial | $5,877.96 | ↓ -45% |
| Cigna | Commercial | $7,124.80 | ↓ -33% |
| Cigna | EBR | $7,124.80 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $9,796.60 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $9,796.60 | ↓ -8% |
| UPMC Health Plan | Commercial | $10,389.97 | ↓ -3% |
| InterGroup | Health Coalition Partners/PPO | $11,577.80 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $12,468.40 | ↑ +17% |
| Aetna | AXA/MMO | $12,468.40 | ↑ +17% |
| Fidelis | Medicare | $12,478.26 | ↑ +17% |
| Aetna | Medicare | $12,727.83 | ↑ +19% |
| UPMC Health Plan | Partners/Select | $12,737.81 | ↑ +19% |
| Wellcare | Medicare Advantage | $12,852.61 | ↑ +20% |
| BCBS of Western NY | Medicare Advantage | $13,102.17 | ↑ +23% |
| United Healthcare | Medicare | $13,351.74 | ↑ +25% |
| Highmark Wholecare (prev Gateway) | Medicare | $13,475.27 | ↑ +26% |
| Cigna | Medicare | $13,476.52 | ↑ +26% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13,476.52 | ↑ +26% |
| AmeriHealth Caritas | Medicare | $13,476.52 | ↑ +26% |
| InterGroup | Beech Street | $14,249.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $14,249.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $15,309.88 | ↑ +43% |
| Independent Health | Medicare Advantage | $15,725.10 | ↑ +47% |
| Independent Health | Commercial | $18,163.82 | ↑ +70% |
| Highmark BCBS of PA | UPMC Emergent | $24,495.59 | ↑ +129% |
Visitor-reported prices
Comments
Venous mech thrombectomy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $33,079.20 | $4,574.16 – $44,105.60 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,446.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $13,128.60 | $4,574.16 – $17,504.80 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $17,333.84 |
| UPMC Lititz | Lititz | $17,281.80 | $1,016.56 – $17,427.46 |
| UPMC Magee | Pittsburgh | $22,748.40 | $4,574.16 – $11,893.06 |
| UPMC Memorial | York | $17,281.80 | $1,016.56 – $17,399.15 |