In situ hybridization per specimen each additional single probe stain at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$295.20
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.
$492.00
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.
$44.02 with Highmark BCBS of PA vs $505.48 with UPMC Health Plan — 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 | $44.02 | ↓ -85% |
| United Healthcare | Commercial | $70.17 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $73.38 | ↓ -75% |
| Univera | Univera_Medicare_Hamot_2024 | $73.80 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $80.72 | ↓ -73% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $84.39 | ↓ -71% |
| Aetna | Medicaid | $88.06 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $101.99 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $108.82 | ↓ -63% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $114.55 | ↓ -61% |
| Aetna | Commercial | $123.00 | ↓ -58% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $125.05 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $126.51 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $133.01 | ↓ -55% |
| Cigna | NBR ASO/FI | $147.60 | ↓ -50% |
| Cigna | New Business ASO | $147.60 | ↓ -50% |
| Univera | Commercial | $162.36 | ↓ -45% |
| Cigna | EBR | $196.80 | ↓ -33% |
| Cigna | Commercial | $196.80 | ↓ -33% |
| Aetna | Medicare | $196.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $212.81 | ↓ -28% |
| Highmark Wholecare (prev Gateway) | Medicare | $246.00 | ↓ -17% |
| BCBS of Western NY | Commercial | $292.77 | ↓ -1% |
| InterGroup | Health Coalition Partners/PPO | $319.80 | ↑ +8% |
| Aetna | AXA/MMO | $344.40 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $344.40 | ↑ +17% |
| InterGroup | Beech Street | $393.60 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $393.60 | ↑ +33% |
| UPMC Health Plan | Commercial | $505.48 | ↑ +71% |
Visitor-reported prices
Comments
In situ hybridization per specimen each additional single probe stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $339.00 | $68.24 – $480.25 |
| UPMC Cole | Coudersport | $297.60 | $53.00 – $396.80 |
| UPMC Community Osteopathic | Harrisburg | $339.00 | $68.24 – $1,012.26 |
| UPMC Lititz | Lititz | $339.00 | $68.24 – $271.16 |
| UPMC Memorial | York | $339.00 | $35.88 – $322.64 |
| UPMC Presbyterian | Pittsburgh | $463.20 | $44.44 – $167.71 |
| UPMC Somerset | Somerset | $339.00 | $43.57 – $126.51 |
| UPMC Williamsport | Williamsport | $219.00 | $66.68 – $139.75 |