Chimerism anal w/cell select at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,258.40
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.
?
What you pay up front if you don't use insurance.
$3,764.00
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.
$257.74 with UPMC Work Partners vs $3,011.20 with InterGroup — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $257.74 | ↓ -89% |
| Fidelis | Medicare | $260.79 | ↓ -88% |
| Aetna | Medicare | $266.01 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $266.21 | ↓ -88% |
| Wellcare | Medicare Advantage | $268.61 | ↓ -88% |
| Independent Health | Medicare Advantage | $268.61 | ↓ -88% |
| Independent Health | Commercial | $268.61 | ↓ -88% |
| BCBS of Western NY | Medicare Advantage | $273.83 | ↓ -88% |
| United Healthcare | Medicare | $279.05 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $281.63 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $281.65 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $281.65 | ↓ -88% |
| Cigna | Medicare | $281.65 | ↓ -88% |
| United Healthcare | Commercial | $355.78 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $516.04 | ↓ -77% |
| BCBS of Western NY | Commercial | $549.65 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $564.60 | ↓ -75% |
| Aetna | Commercial | $941.00 | ↓ -58% |
| Cigna | New Business ASO | $1,129.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $1,129.20 | ↓ -50% |
| Univera | Commercial | $1,242.12 | ↓ -45% |
| UPMC Health Plan | Commercial | $1,385.15 | ↓ -39% |
| Cigna | Commercial | $1,505.60 | ↓ -33% |
| Cigna | EBR | $1,505.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,559.34 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $2,070.20 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,070.20 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $2,446.60 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $2,494.92 | ↑ +10% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,634.80 | ↑ +17% |
| Aetna | AXA/MMO | $2,634.80 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $3,011.20 | ↑ +33% |
| InterGroup | Beech Street | $3,011.20 | ↑ +33% |
Visitor-reported prices
Comments
Chimerism anal w/cell select at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $2,258.40 | $244.07 – $520.95 |
| UPMC Presbyterian | Pittsburgh | $3,384.60 | $190.90 – $520.95 |
| UPMC St. Margaret | Pittsburgh | $2,258.40 | $225.17 – $520.95 |
| Uniontown Hospital | Uniontown | $182.50 | $246.45 – $541.66 |