Ghs hla-dr/dq, multiple antigens at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$468.60
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.
$781.00
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.
$88.50 with United Healthcare vs $624.80 with InterGroup — 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 | $88.50 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $88.98 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $97.88 | ↓ -79% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $102.33 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $104.90 | ↓ -78% |
| Fidelis | Medicare | $106.14 | ↓ -77% |
| Aetna | Medicaid | $106.78 | ↓ -77% |
| Aetna | Medicare | $108.26 | ↓ -77% |
| UPMC Health Plan | Partners/Select | $108.35 | ↓ -77% |
| Independent Health | Medicare Advantage | $109.32 | ↓ -77% |
| Independent Health | Commercial | $109.32 | ↓ -77% |
| Wellcare | Medicare Advantage | $109.32 | ↓ -77% |
| BCBS of Western NY | Medicare Advantage | $111.45 | ↓ -76% |
| United Healthcare | Medicare | $113.57 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $114.62 | ↓ -76% |
| Cigna | Medicare | $114.63 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $114.63 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $114.63 | ↓ -76% |
| Univera | Univera_Medicare_Hamot_2024 | $117.15 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $123.67 | ↓ -74% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $124.43 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $131.96 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $138.91 | ↓ -70% |
| BCBS of Western NY | Commercial | $145.40 | ↓ -69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $151.64 | ↓ -68% |
| UPMC Health Plan | Commercial | $185.37 | ↓ -60% |
| Aetna | Commercial | $195.25 | ↓ -58% |
| Cigna | New Business ASO | $234.30 | ↓ -50% |
| Cigna | NBR ASO/FI | $234.30 | ↓ -50% |
| Univera | Commercial | $257.73 | ↓ -45% |
| Cigna | Commercial | $312.40 | ↓ -33% |
| Cigna | EBR | $312.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $375.99 | ↓ -20% |
| InterGroup | Health Coalition Partners/PPO | $507.65 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $546.70 | ↑ +17% |
| Aetna | AXA/MMO | $546.70 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $601.58 | ↑ +28% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $624.80 | ↑ +33% |
| InterGroup | Beech Street | $624.80 | ↑ +33% |
Visitor-reported prices
Comments
Ghs hla-dr/dq, multiple antigens at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $617.40 | $88.98 – $823.20 |
| UPMC Bedford | Everett | $424.80 | $38.30 – $637.20 |
| UPMC East | Monroeville | $462.60 | $88.98 – $616.80 |
| UPMC Northwest | Seneca | $424.80 | $96.26 – $114.63 |
| UPMC Horizon-Greenville | Greenville | $457.20 | $88.98 – $199.17 |
| UPMC Jameson | New Castle | $271.20 | $89.95 – $126.62 |
| UPMC Magee | Pittsburgh | $462.60 | $97.88 – $151.64 |
| UPMC McKeesport | Mckeesport | $450.00 | $97.88 – $125.61 |