Biopsy cervixsingle/multiple 57500 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
not published by hospital
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.
not published by hospital
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.
$72.73 with UPMC Health Plan vs $6,879.78 with BCBS of Western NY — 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 | $72.73 | — |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $76.04 | — |
| Aetna | Medicaid | $79.34 | — |
| Geisinger | Medicaid/CHIP | $91.90 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $98.06 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $99.71 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $103.22 | — |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $112.68 | — |
| UPMC Work Partners | Workers Comp | $202.12 | — |
| Fidelis | Medicare | $958.09 | — |
| Aetna | Medicare | $977.25 | — |
| UPMC Health Plan | Partners/Select | $978.02 | — |
| Wellcare | Medicare Advantage | $986.83 | — |
| BCBS of Western NY | Medicare Advantage | $1,005.99 | — |
| United Healthcare | Medicare | $1,025.16 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $1,034.64 | — |
| AmeriHealth Caritas | Medicare | $1,034.74 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,034.74 | — |
| Cigna | Medicare | $1,034.74 | — |
| United Healthcare | Commercial | $1,147.00 | — |
| Independent Health | Commercial | $1,203.71 | — |
| Independent Health | Medicare Advantage | $1,207.39 | — |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,348.75 | — |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $4,075.55 | — |
| UPMC Health Plan | Commercial | $5,282.52 | — |
| Highmark BCBS of PA | UPMC Emergent | $6,520.82 | — |
| BCBS of Western NY | Commercial | $6,879.78 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy cervixsingle/multiple 57500 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,169.80 | $66.12 – $8,226.40 |
| UPMC Cole | Coudersport | $168.00 | $69.43 – $2,325.85 |
| UPMC Northwest | Seneca | $8,072.40 | $72.73 – $871.66 |
| UPMC Magee | Pittsburgh | $4,251.60 | $72.73 – $1,361.59 |
| UPMC Mercy | Pittsburgh | $7,606.20 | $72.73 – $1,348.75 |
| UPMC Passavant-McCandless | Pittsburgh | $8,772.60 | $72.73 – $1,361.59 |
| UPMC Presbyterian | Pittsburgh | $7,579.80 | $72.73 – $1,361.59 |
| UPMC Wellsboro | Wellsboro | $7,461.60 | $72.73 – $997.12 |