Immunofluorescence per specimen each additional single antibody stain at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$173.40
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.
$289.00
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.
$19.64 with Health Partners Plans (Jefferson Health Plan) vs $231.20 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.64 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $21.60 | ↓ -88% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $22.59 | ↓ -87% |
| Aetna | Medicaid | $23.57 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $27.30 | ↓ -84% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $28.37 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.13 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30.66 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $33.47 | ↓ -81% |
| Univera | Univera_Medicare_Hamot_2024 | $43.35 | ↓ -75% |
| United Healthcare | Commercial | $43.71 | ↓ -75% |
| Aetna | Commercial | $72.25 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $85.71 | ↓ -51% |
| Cigna | NBR ASO/FI | $86.70 | ↓ -50% |
| Cigna | New Business ASO | $86.70 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $91.87 | ↓ -47% |
| Univera | Commercial | $95.37 | ↓ -45% |
| Aetna | Medicare | $115.60 | ↓ -33% |
| Cigna | Commercial | $115.60 | ↓ -33% |
| Cigna | EBR | $115.60 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $137.14 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $144.50 | ↓ -17% |
| InterGroup | Health Coalition Partners/PPO | $187.85 | ↑ +8% |
| Aetna | AXA/MMO | $202.30 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $202.30 | ↑ +17% |
| BCBS of Western NY | Commercial | $224.30 | ↑ +29% |
| UPMC Health Plan | Commercial | $229.70 | ↑ +32% |
| InterGroup | Beech Street | $231.20 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $231.20 | ↑ +33% |
Visitor-reported prices
Comments
Immunofluorescence per specimen each additional single antibody stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $903.60 | $19.64 – $1,204.80 |
| UPMC Carlisle | Carlisle | $195.60 | $15.76 – $649.15 |
| UPMC Community Osteopathic | Harrisburg | $195.60 | $15.76 – $459.98 |
| UPMC East | Monroeville | $75.60 | $19.64 – $100.80 |
| UPMC Northwest | Seneca | $108.00 | $21.60 – $91.87 |
| UPMC Hanover | Hanover | $195.60 | $15.76 – $649.15 |
| UPMC Horizon-Greenville | Greenville | $118.20 | $19.64 – $91.87 |
| UPMC Jameson | New Castle | $102.00 | $13.83 – $219.37 |