Hpa-1 genotyping at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$168.00
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.
$280.00
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.
$42.00 with Univera vs $462.64 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $42.00 | ↓ -75% |
| Aetna | Commercial | $70.00 | ↓ -58% |
| Cigna | NBR ASO/FI | $84.00 | ↓ -50% |
| Cigna | New Business ASO | $84.00 | ↓ -50% |
| Univera | Commercial | $92.40 | ↓ -45% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $95.69 | ↓ -43% |
| UPMC Health Plan | Commercial | $103.04 | ↓ -39% |
| Cigna | Commercial | $112.00 | ↓ -33% |
| Cigna | EBR | $112.00 | ↓ -33% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $120.71 | ↓ -28% |
| UPMC Work Partners | Workers Comp | $120.80 | ↓ -28% |
| Fidelis | Medicare | $122.22 | ↓ -27% |
| Aetna | Medicare | $124.66 | ↓ -26% |
| UPMC Health Plan | Partners/Select | $124.76 | ↓ -26% |
| Wellcare | Medicare Advantage | $125.89 | ↓ -25% |
| Independent Health | Commercial | $125.89 | ↓ -25% |
| Independent Health | Medicare Advantage | $125.89 | ↓ -25% |
| BCBS of Western NY | Medicare Advantage | $128.33 | ↓ -24% |
| United Healthcare | Medicare | $130.78 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $131.99 | ↓ -21% |
| AmeriHealth Caritas | Medicare | $132.00 | ↓ -21% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $132.00 | ↓ -21% |
| Cigna | Medicare | $132.00 | ↓ -21% |
| UPMC Health Plan | Managed Medicaid | $132.78 | ↓ -21% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $138.82 | ↓ -17% |
| Aetna | Medicaid | $144.85 | ↓ -14% |
| United Healthcare | Commercial | $150.89 | ↓ -10% |
| Geisinger | Medicaid/CHIP | $167.77 | ↓ -0% |
| Highmark Wholecare (prev Gateway) | Medicaid | $179.01 | ↑ +7% |
| InterGroup | Health Coalition Partners/PPO | $182.00 | ↑ +8% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $188.44 | ↑ +12% |
| Aetna | AXA/MMO | $196.00 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $196.00 | ↑ +17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $205.71 | ↑ +22% |
| InterGroup | Beech Street | $224.00 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $224.00 | ↑ +33% |
| BCBS of Western NY | Commercial | $257.59 | ↑ +53% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $289.15 | ↑ +72% |
| Highmark BCBS of PA | UPMC Emergent | $462.64 | ↑ +175% |
Visitor-reported prices
Comments
Hpa-1 genotyping at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $168.00 | $109.42 – $167.77 |
| UPMC Magee | Pittsburgh | $477.00 | $96.60 – $205.71 |
| UPMC Presbyterian | Pittsburgh | $168.00 | $96.60 – $187.91 |
| WellSpan Ephrata Community Hospital | Ephrata | $310.40 | $120.71 – $554.88 |