Immunoassay tumor qual at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$212.40
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.
$354.00
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.
$25.27 with UPMC Work Partners vs $283.20 with Multiplan — 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 | $25.27 | ↓ -88% |
| Fidelis | Medicare | $25.57 | ↓ -88% |
| Aetna | Medicare | $26.08 | ↓ -88% |
| UPMC Health Plan | Partners/Select | $26.10 | ↓ -88% |
| Independent Health | Commercial | $26.34 | ↓ -88% |
| Wellcare | Medicare Advantage | $26.34 | ↓ -88% |
| Independent Health | Medicare Advantage | $26.34 | ↓ -88% |
| BCBS of Western NY | Medicare Advantage | $26.85 | ↓ -87% |
| United Healthcare | Commercial | $26.97 | ↓ -87% |
| United Healthcare | Medicare | $27.36 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $27.61 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $27.62 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $27.62 | ↓ -87% |
| Cigna | Medicare | $27.62 | ↓ -87% |
| BCBS of Western NY | Commercial | $35.03 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $37.42 | ↓ -82% |
| Univera | Univera_Medicare_Hamot_2024 | $53.10 | ↓ -75% |
| Aetna | Commercial | $88.50 | ↓ -58% |
| Cigna | New Business ASO | $106.20 | ↓ -50% |
| Cigna | NBR ASO/FI | $106.20 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $113.07 | ↓ -47% |
| Univera | Commercial | $116.82 | ↓ -45% |
| UPMC Health Plan | Commercial | $130.27 | ↓ -39% |
| Cigna | Commercial | $141.60 | ↓ -33% |
| Cigna | EBR | $141.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $180.90 | ↓ -15% |
| Geisinger | Medicaid/CHIP | $194.70 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $194.70 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $230.10 | ↑ +8% |
| Aetna | AXA/MMO | $247.80 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $247.80 | ↑ +17% |
| InterGroup | Beech Street | $283.20 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $283.20 | ↑ +33% |
Visitor-reported prices
Comments
Immunoassay tumor qual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $233.40 | $23.19 – $27.62 |
| UPMC Magee | Pittsburgh | $153.00 | $23.93 – $37.77 |
| UPMC Passavant-McCandless | Pittsburgh | $167.40 | $23.76 – $37.77 |
| UPMC Wellsboro | Wellsboro | $190.20 | $19.97 – $25.27 |