Ghs ppd (tb intradermal) at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$37.20
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.
$62.00
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.
$5.05 with Fidelis vs $85.28 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 |
|---|---|---|---|
| Fidelis | Child Health Plus/Family Health Plus/Medicaid | $5.05 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5.50 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $6.05 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $6.33 | ↓ -83% |
| Aetna | Medicaid | $6.60 | ↓ -82% |
| United Healthcare | Commercial | $6.82 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $7.64 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.16 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.59 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $9.30 | ↓ -75% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $9.37 | ↓ -75% |
| Fidelis | Essential Plan | $11.36 | ↓ -69% |
| Molina Healthcare of NY | CHIP (For Kids)/Essential Plan/Medicaid | $11.36 | ↓ -69% |
| BCBS of Western NY | Commercial | $13.12 | ↓ -65% |
| Aetna | Commercial | $15.50 | ↓ -58% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $17.64 | ↓ -53% |
| Cigna | NBR ASO/FI | $18.60 | ↓ -50% |
| Cigna | New Business ASO | $18.60 | ↓ -50% |
| UPMC Health Plan | Commercial | $20.39 | ↓ -45% |
| Univera | Commercial | $20.46 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $23.55 | ↓ -37% |
| Cigna | EBR | $24.80 | ↓ -33% |
| Cigna | Commercial | $24.80 | ↓ -33% |
| Fidelis | Medicare | $26.95 | ↓ -28% |
| Aetna | Medicare | $27.49 | ↓ -26% |
| UPMC Health Plan | Partners/Select | $27.51 | ↓ -26% |
| Wellcare | Medicare Advantage | $27.76 | ↓ -25% |
| BCBS of Western NY | Medicare Advantage | $28.30 | ↓ -24% |
| United Healthcare | Medicare | $28.84 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $29.10 | ↓ -22% |
| AmeriHealth Caritas | Medicare | $29.11 | ↓ -22% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $29.11 | ↓ -22% |
| Cigna | Medicare | $29.11 | ↓ -22% |
| Independent Health | Medicare Advantage | $34.13 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $40.30 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $43.40 | ↑ +17% |
| Aetna | AXA/MMO | $43.40 | ↑ +17% |
| Independent Health | Commercial | $45.45 | ↑ +22% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $49.60 | ↑ +33% |
| InterGroup | Beech Street | $49.60 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $53.30 | ↑ +43% |
| Highmark BCBS of PA | UPMC Emergent | $85.28 | ↑ +129% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs ppd (tb intradermal) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $70.20 | $5.50 – $93.60 |
| UPMC Carlisle | Carlisle | $85.80 | $5.50 – $121.55 |
| UPMC Cole | Coudersport | $29.40 | $4.99 – $21.19 |
| UPMC Community Osteopathic | Harrisburg | $85.80 | $5.50 – $40.82 |
| UPMC East | Monroeville | $62.40 | $5.50 – $83.20 |
| UPMC Northwest | Seneca | $57.00 | $6.05 – $24.52 |
| UPMC Hanover | Hanover | $85.80 | $5.50 – $37.44 |
| UPMC Kane | Kane | $24.60 | $6.05 – $40.92 |