Infect ag genotype na dna hepatitis b at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$837.00
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.
$1,395.00
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.
$209.25 with Univera vs $1,458.83 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Univera | Univera_Medicare_Hamot_2024 | $209.25 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $254.45 | ↓ -70% |
| Fidelis | Medicare | $257.45 | ↓ -69% |
| Aetna | Medicare | $262.60 | ↓ -69% |
| UPMC Health Plan | Partners/Select | $262.80 | ↓ -69% |
| Independent Health | Commercial | $265.17 | ↓ -68% |
| Independent Health | Medicare Advantage | $265.17 | ↓ -68% |
| Wellcare | Medicare Advantage | $265.17 | ↓ -68% |
| BCBS of Western NY | Medicare Advantage | $270.32 | ↓ -68% |
| United Healthcare | Medicare | $275.47 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $278.02 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $278.05 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $278.05 | ↓ -67% |
| Cigna | Medicare | $278.05 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $283.10 | ↓ -66% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $301.74 | ↓ -64% |
| UPMC Health Plan | Managed Medicaid | $311.41 | ↓ -63% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $325.56 | ↓ -61% |
| Aetna | Medicaid | $339.72 | ↓ -59% |
| Aetna | Commercial | $348.75 | ↓ -58% |
| BCBS of Western NY | Commercial | $352.69 | ↓ -58% |
| United Healthcare | Commercial | $353.88 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $393.48 | ↓ -53% |
| Cigna | NBR ASO/FI | $418.50 | ↓ -50% |
| Cigna | New Business ASO | $418.50 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $419.84 | ↓ -50% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $441.95 | ↓ -47% |
| Univera | Commercial | $460.35 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $482.46 | ↓ -42% |
| UPMC Health Plan | Commercial | $513.36 | ↓ -39% |
| Cigna | Commercial | $558.00 | ↓ -33% |
| Cigna | EBR | $558.00 | ↓ -33% |
| InterGroup | Health Coalition Partners/PPO | $906.75 | ↑ +8% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $911.78 | ↑ +9% |
| Multiplan | PPO (Includes PHCS as a Payer) | $976.50 | ↑ +17% |
| Aetna | AXA/MMO | $976.50 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,116.00 | ↑ +33% |
| InterGroup | Beech Street | $1,116.00 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $1,458.83 | ↑ +74% |
Visitor-reported prices
Comments
Infect ag genotype na dna hepatitis b at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $450.60 | $254.45 – $600.80 |
| UPMC East | Monroeville | $1,338.60 | $254.45 – $1,784.80 |
| UPMC Horizon-Greenville | Greenville | $618.60 | $230.49 – $483.10 |
| UPMC Magee | Pittsburgh | $552.60 | $240.95 – $482.46 |
| UPMC McKeesport | Mckeesport | $1,004.40 | $238.63 – $311.41 |
| UPMC Mercy | Pittsburgh | $606.60 | $214.61 – $325.56 |
| UPMC Muncy | Muncy | $368.40 | $254.45 – $482.46 |
| UPMC Passavant-McCandless | Pittsburgh | $831.00 | $239.25 – $325.56 |