Collection of venous blood by venipuncture at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$22.80
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.
$38.00
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.
$0.02 with Highmark BCBS of PA vs $30.40 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $0.02 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $0.06 | ↓ -100% |
| Highmark BCBS of PA | UPMC Emergent | $0.09 | ↓ -100% |
| United Healthcare | Commercial | $3.00 | ↓ -87% |
| Independent Health | Commercial | $3.09 | ↓ -86% |
| Independent Health | Medicare Advantage | $3.09 | ↓ -86% |
| BCBS of Western NY | Commercial | $4.11 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $5.70 | ↓ -75% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $7.26 | ↓ -68% |
| UPMC Health Plan | Commercial | $7.51 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $8.73 | ↓ -62% |
| Fidelis | Medicare | $9.09 | ↓ -60% |
| Aetna | Medicare | $9.27 | ↓ -59% |
| UPMC Health Plan | Partners/Select | $9.28 | ↓ -59% |
| Wellcare | Medicare Advantage | $9.36 | ↓ -59% |
| Aetna | Commercial | $9.50 | ↓ -58% |
| BCBS of Western NY | Medicare Advantage | $9.54 | ↓ -58% |
| United Healthcare | Medicare | $9.73 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $9.82 | ↓ -57% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $9.82 | ↓ -57% |
| AmeriHealth Caritas | Medicare | $9.82 | ↓ -57% |
| Cigna | Medicare | $9.82 | ↓ -57% |
| Cigna | NBR ASO/FI | $11.40 | ↓ -50% |
| Cigna | New Business ASO | $11.40 | ↓ -50% |
| Univera | Commercial | $12.54 | ↓ -45% |
| Cigna | Commercial | $15.20 | ↓ -33% |
| Cigna | EBR | $15.20 | ↓ -33% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $16.34 | ↓ -28% |
| Fidelis | Essential Plan | $16.34 | ↓ -28% |
| Geisinger | Medicaid/CHIP | $20.90 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20.90 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $24.70 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $26.60 | ↑ +17% |
| Aetna | AXA/MMO | $26.60 | ↑ +17% |
| InterGroup | Beech Street | $30.40 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $30.40 | ↑ +33% |
Visitor-reported prices
Comments
Collection of venous blood by venipuncture at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $20.40 | $0.02 – $27.20 |
| UPMC Bedford | Everett | $7.80 | $0.05 – $11.70 |
| UPMC Carlisle | Carlisle | $7.80 | $1.78 – $14.54 |
| UPMC Cole | Coudersport | $18.00 | $1.95 – $23.20 |
| UPMC Community Osteopathic | Harrisburg | $7.80 | $0.07 – $11.05 |
| UPMC East | Monroeville | $15.60 | $0.02 – $20.80 |
| UPMC Northwest | Seneca | $10.20 | $0.05 – $9.82 |
| UPMC Hanover | Hanover | $7.80 | $6.05 – $14.54 |