Herpes simplex 2 ag if at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$168.60
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.
$281.00
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.
$11.84 with UPMC Work Partners vs $224.80 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $11.84 | ↓ -93% |
| Fidelis | Medicare | $11.98 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $12.18 | ↓ -93% |
| Aetna | Medicare | $12.22 | ↓ -93% |
| UPMC Health Plan | Partners/Select | $12.23 | ↓ -93% |
| Wellcare | Medicare Advantage | $12.34 | ↓ -93% |
| Independent Health | Medicare Advantage | $12.34 | ↓ -93% |
| Independent Health | Commercial | $12.34 | ↓ -93% |
| BCBS of Western NY | Medicare Advantage | $12.58 | ↓ -93% |
| United Healthcare | Medicare | $12.82 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $12.94 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $12.94 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $12.94 | ↓ -92% |
| Cigna | Medicare | $12.94 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $13.40 | ↓ -92% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $14.01 | ↓ -92% |
| Aetna | Medicaid | $14.62 | ↓ -91% |
| BCBS of Western NY | Commercial | $16.43 | ↓ -90% |
| United Healthcare | Commercial | $16.49 | ↓ -90% |
| UPMC Health Plan | Commercial | $16.53 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $16.93 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.06 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $19.01 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $20.76 | ↓ -88% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $29.24 | ↓ -83% |
| Univera | Univera_Medicare_Hamot_2024 | $42.15 | ↓ -75% |
| Aetna | Commercial | $70.25 | ↓ -58% |
| Cigna | NBR ASO/FI | $84.30 | ↓ -50% |
| Cigna | New Business ASO | $84.30 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $88.35 | ↓ -48% |
| Univera | Commercial | $92.73 | ↓ -45% |
| Cigna | Commercial | $112.40 | ↓ -33% |
| Cigna | EBR | $112.40 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $141.36 | ↓ -16% |
| InterGroup | Health Coalition Partners/PPO | $182.65 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $196.70 | ↑ +17% |
| Aetna | AXA/MMO | $196.70 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $224.80 | ↑ +33% |
| InterGroup | Beech Street | $224.80 | ↑ +33% |
Visitor-reported prices
Comments
Herpes simplex 2 ag if at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $183.60 | $9.19 – $14.01 |
| UPMC Magee | Pittsburgh | $119.40 | $9.63 – $29.52 |
| UPMC Mercy | Pittsburgh | $126.00 | $9.13 – $29.24 |
| UPMC Muncy | Muncy | $143.40 | $11.84 – $20.76 |
| UPMC Presbyterian | Pittsburgh | $142.20 | $9.69 – $29.52 |
| UPMC Wellsboro | Wellsboro | $173.60 | $11.84 – $20.76 |
| UPMC Williamsport | Williamsport | $143.40 | $11.84 – $15.59 |
| Uniontown Hospital | Uniontown | $59.00 | $11.32 – $24.88 |