Bone marrow interpretation at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$315.00
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.
$525.00
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.
$3.08 with UPMC Health Plan vs $1,242.08 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 | Commercial | $3.08 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.20 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $21.12 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $22.08 | ↓ -93% |
| Aetna | Medicaid | $23.04 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $26.69 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.47 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.97 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32.72 | ↓ -90% |
| United Healthcare | Commercial | $38.10 | ↓ -88% |
| BCBS of Western NY | Commercial | $65.91 | ↓ -79% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $76.77 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $78.75 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $116.81 | ↓ -63% |
| Aetna | Commercial | $131.25 | ↓ -58% |
| Cigna | NBR ASO/FI | $157.50 | ↓ -50% |
| Cigna | New Business ASO | $157.50 | ↓ -50% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $172.73 | ↓ -45% |
| Fidelis | Essential Plan | $172.73 | ↓ -45% |
| Univera | Commercial | $173.25 | ↓ -45% |
| Cigna | Commercial | $210.00 | ↓ -33% |
| Cigna | EBR | $210.00 | ↓ -33% |
| InterGroup | Health Coalition Partners/PPO | $341.25 | ↑ +8% |
| Aetna | AXA/MMO | $367.50 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $367.50 | ↑ +17% |
| InterGroup | Beech Street | $420.00 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $420.00 | ↑ +33% |
| Fidelis | Medicare | $898.85 | ↑ +185% |
| Aetna | Medicare | $916.83 | ↑ +191% |
| UPMC Health Plan | Partners/Select | $917.55 | ↑ +191% |
| Wellcare | Medicare Advantage | $925.82 | ↑ +194% |
| Independent Health | Medicare Advantage | $932.64 | ↑ +196% |
| BCBS of Western NY | Medicare Advantage | $943.79 | ↑ +200% |
| United Healthcare | Medicare | $961.77 | ↑ +205% |
| Highmark Wholecare (prev Gateway) | Medicare | $970.67 | ↑ +208% |
| AmeriHealth Caritas | Medicare | $970.76 | ↑ +208% |
| Cigna | Medicare | $970.76 | ↑ +208% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $970.76 | ↑ +208% |
| Independent Health | Commercial | $1,242.08 | ↑ +294% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bone marrow interpretation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $239.40 | $6.16 – $319.20 |
| UPMC Bedford | Everett | $140.40 | $1.72 – $778.82 |
| UPMC Carlisle | Carlisle | $3,124.80 | $6.16 – $4,426.80 |
| UPMC Community Osteopathic | Harrisburg | $3,124.80 | $6.16 – $859.82 |
| UPMC East | Monroeville | $175.20 | $1.69 – $817.76 |
| UPMC Northwest | Seneca | $250.80 | $1.71 – $817.76 |
| UPMC Hanover | Hanover | $3,124.80 | $6.16 – $1,248.61 |
| UPMC Horizon-Greenville | Greenville | $456.60 | $1.72 – $1,461.46 |