Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,745.40
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.
$2,909.00
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.
$69.65 with UPMC Health Plan vs $4,420.18 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $69.65 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $72.82 | ↓ -96% |
| Aetna | Medicaid | $75.98 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $88.01 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $93.90 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $95.49 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $98.85 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $105.43 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $107.91 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $213.06 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $318.58 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $436.35 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $509.73 | ↓ -71% |
| Aetna | Commercial | $727.25 | ↓ -58% |
| Cigna | New Business ASO | $872.70 | ↓ -50% |
| Cigna | NBR ASO/FI | $872.70 | ↓ -50% |
| Univera | Commercial | $959.97 | ↓ -45% |
| Cigna | Commercial | $1,163.60 | ↓ -33% |
| Cigna | EBR | $1,163.60 | ↓ -33% |
| Aetna | Medicare | $1,163.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,454.50 | ↓ -17% |
| United Healthcare | Commercial | $1,535.00 | ↓ -12% |
| BCBS of Western NY | Commercial | $1,572.66 | ↓ -10% |
| InterGroup | Health Coalition Partners/PPO | $1,890.85 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,036.30 | ↑ +17% |
| Aetna | AXA/MMO | $2,036.30 | ↑ +17% |
| InterGroup | Beech Street | $2,327.20 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,327.20 | ↑ +33% |
| UPMC Health Plan | Commercial | $2,645.05 | ↑ +52% |
| Fidelis | Medicare | $3,149.17 | ↑ +80% |
| UPMC Health Plan | Partners/Select | $3,214.67 | ↑ +84% |
| Wellcare | Medicare Advantage | $3,243.65 | ↑ +86% |
| BCBS of Western NY | Medicare Advantage | $3,306.63 | ↑ +89% |
| United Healthcare | Medicare | $3,369.61 | ↑ +93% |
| Cigna | Medicare | $3,401.10 | ↑ +95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,401.10 | ↑ +95% |
| AmeriHealth Caritas | Medicare | $3,401.10 | ↑ +95% |
| Independent Health | Medicare Advantage | $3,968.58 | ↑ +127% |
| Independent Health | Commercial | $4,420.18 | ↑ +153% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,712.40 | $63.32 – $2,283.20 |
| UPMC Carlisle | Carlisle | $4,644.60 | $80.42 – $6,579.85 |
| UPMC Cole | Coudersport | $182.40 | $37.14 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $4,644.60 | $85.48 – $6,579.85 |
| UPMC East | Monroeville | $1,745.40 | $69.65 – $2,865.05 |
| UPMC Northwest | Seneca | $1,176.60 | $69.65 – $2,865.05 |
| UPMC Hanover | Hanover | $4,644.60 | $80.42 – $4,374.59 |
| UPMC Horizon-Greenville | Greenville | $1,745.40 | $69.65 – $2,946.91 |