Chromosome analysis 5 at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$3,040.20
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.
$5,067.00
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.
$242.93 with United Healthcare vs $4,053.60 with Multiplan — 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 |
|---|---|---|---|
| United Healthcare | Commercial | $242.93 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $244.24 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $261.25 | ↓ -91% |
| Fidelis | Medicare | $264.34 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $268.66 | ↓ -91% |
| Aetna | Medicare | $269.63 | ↓ -91% |
| UPMC Health Plan | Partners/Select | $269.84 | ↓ -91% |
| Independent Health | Commercial | $272.27 | ↓ -91% |
| Independent Health | Medicare Advantage | $272.27 | ↓ -91% |
| Wellcare | Medicare Advantage | $272.27 | ↓ -91% |
| BCBS of Western NY | Medicare Advantage | $277.56 | ↓ -91% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $280.88 | ↓ -91% |
| United Healthcare | Medicare | $282.84 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $285.46 | ↓ -91% |
| Cigna | Medicare | $285.49 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $285.49 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $285.49 | ↓ -91% |
| Aetna | Medicaid | $293.09 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $339.47 | ↓ -89% |
| BCBS of Western NY | Commercial | $362.14 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $362.21 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $381.28 | ↓ -87% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $416.23 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $480.39 | ↓ -84% |
| UPMC Health Plan | Commercial | $682.57 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $760.05 | ↓ -75% |
| Aetna | Commercial | $1,266.75 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,451.61 | ↓ -52% |
| Cigna | New Business ASO | $1,520.10 | ↓ -50% |
| Cigna | NBR ASO/FI | $1,520.10 | ↓ -50% |
| Univera | Commercial | $1,672.11 | ↓ -45% |
| Cigna | EBR | $2,026.80 | ↓ -33% |
| Cigna | Commercial | $2,026.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $2,322.55 | ↓ -24% |
| InterGroup | Health Coalition Partners/PPO | $3,293.55 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,546.90 | ↑ +17% |
| Aetna | AXA/MMO | $3,546.90 | ↑ +17% |
| InterGroup | Beech Street | $4,053.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,053.60 | ↑ +33% |
Visitor-reported prices
Comments
Chromosome analysis 5 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $848.40 | $244.24 – $1,131.20 |
| UPMC East | Monroeville | $2,143.20 | $244.24 – $2,857.60 |
| UPMC Northwest | Seneca | $2,955.60 | $239.73 – $285.49 |
| UPMC Horizon-Greenville | Greenville | $1,782.00 | $236.66 – $496.03 |
| UPMC Jameson | New Castle | $1,048.80 | $246.93 – $488.87 |
| UPMC Kane | Kane | $1,742.40 | $242.93 – $1,140.89 |
| UPMC Magee | Pittsburgh | $1,178.40 | $247.40 – $484.96 |
| UPMC McKeesport | Mckeesport | $2,099.40 | $245.02 – $484.96 |