Igh@ var region somatic mutation analy at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,251.80
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.
?
What you pay up front if you don't use insurance.
$3,753.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$291.08 with UPMC Work Partners vs $1,916.00 with InterGroup — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $291.08 | ↓ -87% |
| Fidelis | Medicare | $294.52 | ↓ -87% |
| Aetna | Medicare | $300.41 | ↓ -87% |
| UPMC Health Plan | Partners/Select | $300.65 | ↓ -87% |
| Independent Health | Medicare Advantage | $303.36 | ↓ -87% |
| Wellcare | Medicare Advantage | $303.36 | ↓ -87% |
| Independent Health | Commercial | $303.36 | ↓ -87% |
| BCBS of Western NY | Medicare Advantage | $309.25 | ↓ -86% |
| United Healthcare | Medicare | $315.14 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $318.05 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $318.08 | ↓ -86% |
| AmeriHealth Caritas | Medicare | $318.08 | ↓ -86% |
| Cigna | Medicare | $318.08 | ↓ -86% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $318.41 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $320.63 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $352.69 | ↓ -84% |
| Univera | Univera_Medicare_Hamot_2024 | $359.25 | ↓ -84% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $368.72 | ↓ -84% |
| Aetna | Medicaid | $384.76 | ↓ -83% |
| United Healthcare | Commercial | $401.79 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $445.64 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $475.49 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $500.54 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $546.42 | ↓ -76% |
| Aetna | Commercial | $598.75 | ↓ -73% |
| BCBS of Western NY | Commercial | $620.75 | ↓ -72% |
| Cigna | New Business ASO | $718.50 | ↓ -68% |
| Cigna | NBR ASO/FI | $718.50 | ↓ -68% |
| UPMC Health Plan | Commercial | $752.99 | ↓ -67% |
| Univera | Commercial | $790.35 | ↓ -65% |
| Cigna | EBR | $958.00 | ↓ -57% |
| Cigna | Commercial | $958.00 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $962.16 | ↓ -57% |
| Highmark BCBS of PA | UPMC Emergent | $1,539.44 | ↓ -32% |
| InterGroup | Health Coalition Partners/PPO | $1,556.75 | ↓ -31% |
| Aetna | AXA/MMO | $1,676.50 | ↓ -26% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,676.50 | ↓ -26% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,916.00 | ↓ -15% |
| InterGroup | Beech Street | $1,916.00 | ↓ -15% |
Visitor-reported prices
Comments
Igh@ var region somatic mutation analy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,107.80 | $291.08 – $468.00 |
| UPMC Bedford | Everett | $1,476.00 | $106.26 – $1,841.40 |
| UPMC Carlisle | Carlisle | $1,702.80 | $291.57 – $2,412.30 |
| UPMC Cole | Coudersport | $1,366.20 | $53.00 – $1,821.60 |
| UPMC Community Osteopathic | Harrisburg | $1,702.80 | $291.57 – $2,412.30 |
| UPMC East | Monroeville | $1,397.40 | $291.08 – $1,636.80 |
| UPMC Northwest | Seneca | $1,416.60 | $267.10 – $368.72 |
| UPMC Hanover | Hanover | $1,702.80 | $291.57 – $471.23 |