Drug test(s) presumptive any class instrument chemistry analyzers at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$151.80
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.
?
What you pay up front if you don't use insurance.
$253.00
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.
$19.70 with Fidelis vs $250.19 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $19.70 | ↓ -87% |
| Univera | Univera_Medicare_Hamot_2024 | $35.85 | ↓ -76% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $44.33 | ↓ -71% |
| Fidelis | Essential Plan | $44.33 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $51.75 | ↓ -66% |
| Aetna | Commercial | $59.75 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $61.41 | ↓ -60% |
| Fidelis | Medicare | $62.14 | ↓ -59% |
| Aetna | Medicare | $63.38 | ↓ -58% |
| UPMC Health Plan | Partners/Select | $63.43 | ↓ -58% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $63.85 | ↓ -58% |
| Wellcare | Medicare Advantage | $64.00 | ↓ -58% |
| Independent Health | Commercial | $64.00 | ↓ -58% |
| Independent Health | Medicare Advantage | $64.00 | ↓ -58% |
| BCBS of Western NY | Medicare Advantage | $65.25 | ↓ -57% |
| United Healthcare | Medicare | $66.49 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicare | $67.10 | ↓ -56% |
| Cigna | Medicare | $67.11 | ↓ -56% |
| AmeriHealth Caritas | Medicare | $67.11 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $67.11 | ↓ -56% |
| UPMC Health Plan | Managed Medicaid | $70.23 | ↓ -54% |
| Cigna | New Business ASO | $71.70 | ↓ -53% |
| Cigna | NBR ASO/FI | $71.70 | ↓ -53% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $73.43 | ↓ -52% |
| Aetna | Medicaid | $76.62 | ↓ -50% |
| Univera | Commercial | $78.87 | ↓ -48% |
| United Healthcare | Commercial | $79.81 | ↓ -47% |
| BCBS of Western NY | Commercial | $85.14 | ↓ -44% |
| Geisinger | Medicaid/CHIP | $88.75 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicaid | $94.69 | ↓ -38% |
| Cigna | EBR | $95.60 | ↓ -37% |
| Cigna | Commercial | $95.60 | ↓ -37% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $99.68 | ↓ -34% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $108.81 | ↓ -28% |
| InterGroup | Health Coalition Partners/PPO | $155.35 | ↑ +2% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $156.37 | ↑ +3% |
| Aetna | AXA/MMO | $167.30 | ↑ +10% |
| Multiplan | PPO (Includes PHCS as a Payer) | $167.30 | ↑ +10% |
| InterGroup | Beech Street | $191.20 | ↑ +26% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $191.20 | ↑ +26% |
| UPMC Health Plan | Commercial | $207.74 | ↑ +37% |
| Highmark BCBS of PA | UPMC Emergent | $250.19 | ↑ +65% |
Visitor-reported prices
Comments
Drug test(s) presumptive any class instrument chemistry analyzers at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $399.60 | $51.75 – $532.80 |
| UPMC Bedford | Everett | $327.00 | $22.42 – $490.50 |
| UPMC Carlisle | Carlisle | $159.60 | $21.55 – $173.40 |
| UPMC Cole | Coudersport | $265.80 | $40.39 – $354.40 |
| UPMC Community Osteopathic | Harrisburg | $212.40 | $34.20 – $416.02 |
| UPMC East | Monroeville | $292.80 | $52.24 – $212.80 |
| UPMC Northwest | Seneca | $239.40 | $56.35 – $73.43 |
| UPMC Hanover | Hanover | $159.60 | $21.55 – $99.42 |