healthcosts.net
Cholesterol (Lipid) Test at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$413.40
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.
$689.00
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.
$13.24 with UPMC Work Partners vs $551.20 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 | $13.24 | ↓ -97% |
| Fidelis | Medicare | $13.39 | ↓ -97% |
| Aetna | Medicare | $13.66 | ↓ -97% |
| UPMC Health Plan | Partners/Select | $13.67 | ↓ -97% |
| Independent Health | Medicare Advantage | $13.79 | ↓ -97% |
| Independent Health | Commercial | $13.79 | ↓ -97% |
| Wellcare | Medicare Advantage | $13.79 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $14.00 | ↓ -97% |
| BCBS of Western NY | Medicare Advantage | $14.06 | ↓ -97% |
| United Healthcare | Medicare | $14.33 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $14.46 | ↓ -97% |
| Cigna | Medicare | $14.46 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.46 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.46 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $15.40 | ↓ -96% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $16.10 | ↓ -96% |
| Aetna | Medicaid | $16.80 | ↓ -96% |
| BCBS of Western NY | Commercial | $18.34 | ↓ -96% |
| United Healthcare | Commercial | $18.42 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $19.46 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $20.76 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.86 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $23.86 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $27.23 | ↓ -93% |
| UPMC Health Plan | Commercial | $35.15 | ↓ -91% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $82.29 | ↓ -80% |
| Univera | Univera_Medicare_Hamot_2024 | $103.35 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $131.66 | ↓ -68% |
| Aetna | Commercial | $172.25 | ↓ -58% |
| Cigna | NBR ASO/FI | $206.70 | ↓ -50% |
| Cigna | New Business ASO | $206.70 | ↓ -50% |
| Univera | Commercial | $227.37 | ↓ -45% |
| Cigna | EBR | $275.60 | ↓ -33% |
| Cigna | Commercial | $275.60 | ↓ -33% |
| InterGroup | Health Coalition Partners/PPO | $447.85 | ↑ +8% |
| Aetna | AXA/MMO | $482.30 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $482.30 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $551.20 | ↑ +33% |
| InterGroup | Beech Street | $551.20 | ↑ +33% |
Visitor-reported prices
Comments
Cholesterol (Lipid) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $302.40 | $12.44 – $428.40 |
| UPMC Altoona | Altoona | $143.40 | $13.24 – $191.20 |
| UPMC Bedford | Everett | $66.60 | $4.83 – $99.90 |
| UPMC Cole | Coudersport | $97.80 | $8.70 – $130.40 |
| UPMC East | Monroeville | $212.40 | $13.24 – $283.20 |
| UPMC Hanover | Hanover | $87.60 | $13.26 – $127.02 |
| UPMC Horizon-Greenville | Greenville | $86.40 | $11.99 – $122.40 |
| UPMC Jameson | New Castle | $75.60 | $13.24 – $110.88 |