Egfr gene com variants at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$163.80
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.
$273.00
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.
$40.95 with Univera vs $687.75 with UPMC Health Plan — 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $40.95 | ↓ -75% |
| Aetna | Commercial | $68.25 | ↓ -58% |
| Cigna | New Business ASO | $81.90 | ↓ -50% |
| Cigna | NBR ASO/FI | $81.90 | ↓ -50% |
| Univera | Commercial | $90.09 | ↓ -45% |
| Cigna | Commercial | $109.20 | ↓ -33% |
| Cigna | EBR | $109.20 | ↓ -33% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $123.20 | ↓ -25% |
| InterGroup | Health Coalition Partners/PPO | $177.45 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $191.10 | ↑ +17% |
| Aetna | AXA/MMO | $191.10 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $218.40 | ↑ +33% |
| InterGroup | Beech Street | $218.40 | ↑ +33% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $263.34 | ↑ +61% |
| UPMC Health Plan | Managed Medicaid | $289.67 | ↑ +77% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $302.84 | ↑ +85% |
| Aetna | Medicaid | $316.01 | ↑ +93% |
| UPMC Work Partners | Workers Comp | $320.80 | ↑ +96% |
| Fidelis | Medicare | $324.58 | ↑ +98% |
| United Healthcare | Commercial | $330.01 | ↑ +101% |
| Aetna | Medicare | $331.07 | ↑ +102% |
| UPMC Health Plan | Partners/Select | $331.33 | ↑ +102% |
| Wellcare | Medicare Advantage | $334.32 | ↑ +104% |
| Independent Health | Commercial | $334.32 | ↑ +104% |
| Independent Health | Medicare Advantage | $334.32 | ↑ +104% |
| BCBS of Western NY | Medicare Advantage | $340.81 | ↑ +108% |
| United Healthcare | Medicare | $347.30 | ↑ +112% |
| Highmark Wholecare (prev Gateway) | Medicare | $350.51 | ↑ +114% |
| Cigna | Medicare | $350.55 | ↑ +114% |
| AmeriHealth Caritas | Medicare | $350.55 | ↑ +114% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $350.55 | ↑ +114% |
| Geisinger | Medicaid/CHIP | $366.02 | ↑ +123% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $372.28 | ↑ +127% |
| Highmark Wholecare (prev Gateway) | Medicaid | $390.53 | ↑ +138% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $411.10 | ↑ +151% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $448.78 | ↑ +174% |
| Highmark BCBS of PA | UPMC Emergent | $595.65 | ↑ +264% |
| BCBS of Western NY | Commercial | $684.10 | ↑ +318% |
| UPMC Health Plan | Commercial | $687.75 | ↑ +320% |
Visitor-reported prices
Comments
Egfr gene com variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $128.40 | $107.00 – $350.55 |
| UPMC Carlisle | Carlisle | $1,875.60 | $263.34 – $2,657.10 |
| UPMC Cole | Coudersport | $1,104.60 | $53.00 – $1,472.80 |
| UPMC Community Osteopathic | Harrisburg | $1,875.60 | $263.34 – $2,657.10 |
| UPMC East | Monroeville | $142.20 | $78.21 – $366.02 |
| UPMC Hanover | Hanover | $1,875.60 | $263.34 – $519.33 |
| UPMC Horizon-Greenville | Greenville | $539.40 | $199.21 – $366.02 |
| UPMC Lititz | Lititz | $1,875.60 | $263.34 – $519.33 |