Hrdtry cardmypy gene panel at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$9,556.80
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.
$15,928.00
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.
$520.32 with Highmark BCBS of PA vs $12,742.40 with Multiplan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $520.32 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $578.07 | ↓ -94% |
| Fidelis | Medicare | $584.90 | ↓ -94% |
| Aetna | Medicare | $596.60 | ↓ -94% |
| UPMC Health Plan | Partners/Select | $597.07 | ↓ -94% |
| Wellcare | Medicare Advantage | $602.45 | ↓ -94% |
| Independent Health | Medicare Advantage | $602.45 | ↓ -94% |
| Independent Health | Commercial | $602.45 | ↓ -94% |
| BCBS of Western NY | Medicare Advantage | $614.14 | ↓ -94% |
| United Healthcare | Medicare | $625.84 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $631.63 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $631.69 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $631.69 | ↓ -93% |
| Cigna | Medicare | $631.69 | ↓ -93% |
| BCBS of Western NY | Commercial | $801.30 | ↓ -92% |
| United Healthcare | Commercial | $802.33 | ↓ -92% |
| UPMC Health Plan | Commercial | $1,235.28 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,572.25 | ↓ -84% |
| Univera | Univera_Medicare_Hamot_2024 | $2,389.20 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $2,515.59 | ↓ -74% |
| Aetna | Commercial | $3,982.00 | ↓ -58% |
| Cigna | New Business ASO | $4,778.40 | ↓ -50% |
| Cigna | NBR ASO/FI | $4,778.40 | ↓ -50% |
| Univera | Commercial | $5,256.24 | ↓ -45% |
| Cigna | EBR | $6,371.20 | ↓ -33% |
| Cigna | Commercial | $6,371.20 | ↓ -33% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $8,760.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $8,760.40 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $10,353.20 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $11,149.60 | ↑ +17% |
| Aetna | AXA/MMO | $11,149.60 | ↑ +17% |
| InterGroup | Beech Street | $12,742.40 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $12,742.40 | ↑ +33% |
Visitor-reported prices
Comments
Hrdtry cardmypy gene panel at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $9,556.80 | $530.45 – $631.69 |
| UPMC Magee | Pittsburgh | $8,889.60 | $525.27 – $643.39 |
| UPMC Muncy | Muncy | $7,324.20 | $456.69 – $618.41 |
| UPMC Passavant-McCandless | Pittsburgh | $9,382.20 | $525.27 – $672.18 |
| UPMC Presbyterian | Pittsburgh | $9,382.20 | $428.15 – $1,362.72 |
| UPMC Wellsboro | Wellsboro | $9,300.80 | $456.69 – $578.07 |
| UPMC Williamsport | Williamsport | $9,382.20 | $456.69 – $638.57 |