Brca2 dna gene analy known fam var at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$235.80
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.
$393.00
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.
$58.95 with Univera vs $790.90 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $58.95 | ↓ -75% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $68.13 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $74.59 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $82.05 | ↓ -65% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $85.78 | ↓ -64% |
| Aetna | Medicaid | $89.51 | ↓ -62% |
| United Healthcare | Commercial | $93.24 | ↓ -60% |
| Aetna | Commercial | $98.25 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $103.67 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicaid | $110.62 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $116.44 | ↓ -51% |
| Cigna | New Business ASO | $117.90 | ↓ -50% |
| Cigna | NBR ASO/FI | $117.90 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $127.12 | ↓ -46% |
| Univera | Commercial | $129.69 | ↓ -45% |
| UPMC Health Plan | Commercial | $144.62 | ↓ -39% |
| Cigna | EBR | $157.20 | ↓ -33% |
| Cigna | Commercial | $157.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $205.86 | ↓ -13% |
| InterGroup | Health Coalition Partners/PPO | $255.45 | ↑ +8% |
| Aetna | AXA/MMO | $275.10 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $275.10 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $314.40 | ↑ +33% |
| InterGroup | Beech Street | $314.40 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $329.37 | ↑ +40% |
| UPMC Work Partners | Workers Comp | $370.87 | ↑ +57% |
| Fidelis | Medicare | $375.25 | ↑ +59% |
| Aetna | Medicare | $382.75 | ↑ +62% |
| UPMC Health Plan | Partners/Select | $383.06 | ↑ +62% |
| Independent Health | Medicare Advantage | $386.51 | ↑ +64% |
| Wellcare | Medicare Advantage | $386.51 | ↑ +64% |
| Independent Health | Commercial | $386.51 | ↑ +64% |
| BCBS of Western NY | Medicare Advantage | $394.01 | ↑ +67% |
| United Healthcare | Medicare | $401.52 | ↑ +70% |
| Highmark Wholecare (prev Gateway) | Medicare | $405.23 | ↑ +72% |
| AmeriHealth Caritas | Medicare | $405.27 | ↑ +72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $405.27 | ↑ +72% |
| Cigna | Medicare | $405.27 | ↑ +72% |
| BCBS of Western NY | Commercial | $790.90 | ↑ +235% |
Visitor-reported prices
Comments
Brca2 dna gene analy known fam var at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $235.80 | $68.77 – $405.27 |
| UPMC Passavant-McCandless | Pittsburgh | $235.80 | $68.77 – $431.24 |
| UPMC Presbyterian | Pittsburgh | $235.80 | $68.77 – $431.24 |