Antibody elution rbc reference at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$81.00
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.
?
What you pay up front if you don't use insurance.
$135.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$8.45 with Health Partners Plans (Jefferson Health Plan) vs $283.73 with Independent Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.45 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $9.29 | ↓ -89% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $9.72 | ↓ -88% |
| Aetna | Medicaid | $10.14 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $11.74 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.53 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $13.19 | ↓ -84% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $14.40 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $20.25 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $21.04 | ↓ -74% |
| United Healthcare | Commercial | $24.99 | ↓ -69% |
| UPMC Health Plan | Commercial | $26.48 | ↓ -67% |
| BCBS of Western NY | Commercial | $29.40 | ↓ -64% |
| Aetna | Commercial | $33.75 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $39.81 | ↓ -51% |
| Cigna | New Business ASO | $40.50 | ↓ -50% |
| Cigna | NBR ASO/FI | $40.50 | ↓ -50% |
| Univera | Commercial | $44.55 | ↓ -45% |
| Cigna | EBR | $54.00 | ↓ -33% |
| Cigna | Commercial | $54.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $63.58 | ↓ -22% |
| InterGroup | Health Coalition Partners/PPO | $87.75 | ↑ +8% |
| Aetna | AXA/MMO | $94.50 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $94.50 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $101.73 | ↑ +26% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $108.00 | ↑ +33% |
| InterGroup | Beech Street | $108.00 | ↑ +33% |
| Fidelis | Medicare | $188.55 | ↑ +133% |
| Aetna | Medicare | $192.32 | ↑ +137% |
| UPMC Health Plan | Partners/Select | $192.47 | ↑ +138% |
| Wellcare | Medicare Advantage | $194.21 | ↑ +140% |
| BCBS of Western NY | Medicare Advantage | $197.98 | ↑ +144% |
| United Healthcare | Medicare | $201.75 | ↑ +149% |
| Highmark Wholecare (prev Gateway) | Medicare | $203.62 | ↑ +151% |
| Cigna | Medicare | $203.63 | ↑ +151% |
| AmeriHealth Caritas | Medicare | $203.63 | ↑ +151% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $203.63 | ↑ +151% |
| Independent Health | Medicare Advantage | $213.04 | ↑ +163% |
| Independent Health | Commercial | $283.73 | ↑ +250% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Antibody elution rbc reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $189.60 | $8.45 – $252.80 |
| UPMC Bedford | Everett | $115.20 | $8.45 – $172.80 |
| UPMC Carlisle | Carlisle | $203.40 | $8.45 – $288.15 |
| UPMC Community Osteopathic | Harrisburg | $203.40 | $8.45 – $288.15 |
| UPMC East | Monroeville | $163.80 | $8.45 – $218.40 |
| UPMC Northwest | Seneca | $54.00 | $9.29 – $171.54 |
| UPMC Hanover | Hanover | $203.40 | $8.45 – $261.92 |
| UPMC Horizon-Greenville | Greenville | $109.20 | $8.45 – $176.44 |