Ghs HIV antibody at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$111.60
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.
$186.00
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.
$13.54 with UPMC Work Partners vs $185.76 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $13.54 | ↓ -88% |
| Fidelis | Medicare | $13.71 | ↓ -88% |
| Aetna | Medicare | $13.98 | ↓ -87% |
| UPMC Health Plan | Partners/Select | $14.00 | ↓ -87% |
| Independent Health | Medicare Advantage | $14.12 | ↓ -87% |
| Wellcare | Medicare Advantage | $14.12 | ↓ -87% |
| Independent Health | Commercial | $14.12 | ↓ -87% |
| BCBS of Western NY | Medicare Advantage | $14.40 | ↓ -87% |
| United Healthcare | Medicare | $14.67 | ↓ -87% |
| Cigna | Medicare | $14.81 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $14.81 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.81 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $14.81 | ↓ -87% |
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $15.59 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $18.70 | ↓ -83% |
| BCBS of Western NY | Commercial | $18.77 | ↓ -83% |
| United Healthcare | Commercial | $18.85 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $20.57 | ↓ -82% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $21.50 | ↓ -81% |
| Aetna | Medicaid | $22.44 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $25.99 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.73 | ↓ -75% |
| Univera | Univera_Medicare_Hamot_2024 | $27.90 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.19 | ↓ -74% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $31.87 | ↓ -71% |
| Fidelis | Essential Plan | $35.08 | ↓ -69% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $35.08 | ↓ -69% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $38.42 | ↓ -66% |
| Aetna | Commercial | $46.50 | ↓ -58% |
| Cigna | NBR ASO/FI | $55.80 | ↓ -50% |
| Cigna | New Business ASO | $55.80 | ↓ -50% |
| UPMC Health Plan | Commercial | $59.14 | ↓ -47% |
| Univera | Commercial | $61.38 | ↓ -45% |
| Cigna | Commercial | $74.40 | ↓ -33% |
| Cigna | EBR | $74.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $116.10 | ↑ +4% |
| InterGroup | Health Coalition Partners/PPO | $120.90 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $130.20 | ↑ +17% |
| Aetna | AXA/MMO | $130.20 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $148.80 | ↑ +33% |
| InterGroup | Beech Street | $148.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $185.76 | ↑ +66% |
Visitor-reported prices
Comments
Ghs HIV antibody at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $57.60 | $13.57 – $118.44 |
| UPMC Northwest | Seneca | $255.60 | $12.43 – $21.50 |
| UPMC Horizon-Greenville | Greenville | $122.40 | $12.27 – $25.99 |
| UPMC Jameson | New Castle | $47.40 | $11.11 – $39.10 |
| UPMC Kane | Kane | $178.20 | $13.54 – $59.17 |
| UPMC Magee | Pittsburgh | $138.60 | $12.83 – $38.79 |
| UPMC McKeesport | Mckeesport | $186.60 | $12.71 – $38.79 |
| UPMC Mercy | Pittsburgh | $93.00 | $11.43 – $38.42 |