Infectious agent nucleic acid quantification hepatitis c at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$958.80
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.
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What you pay up front if you don't use insurance.
$1,598.00
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.
$39.65 with Health Partners Plans (Jefferson Health Plan) vs $778.40 with InterGroup — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $39.65 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $42.34 | ↓ -96% |
| Fidelis | Medicare | $42.84 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $43.62 | ↓ -95% |
| Aetna | Medicare | $43.70 | ↓ -95% |
| UPMC Health Plan | Partners/Select | $43.73 | ↓ -95% |
| Independent Health | Commercial | $44.13 | ↓ -95% |
| Independent Health | Medicare Advantage | $44.13 | ↓ -95% |
| Wellcare | Medicare Advantage | $44.13 | ↓ -95% |
| BCBS of Western NY | Medicare Advantage | $44.98 | ↓ -95% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $45.60 | ↓ -95% |
| United Healthcare | Medicare | $45.84 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $46.26 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $46.27 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $46.27 | ↓ -95% |
| Cigna | Medicare | $46.27 | ↓ -95% |
| Aetna | Medicaid | $47.58 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $55.11 | ↓ -94% |
| BCBS of Western NY | Commercial | $58.70 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $58.80 | ↓ -94% |
| United Healthcare | Commercial | $58.88 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $61.90 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $67.57 | ↓ -93% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $113.70 | ↓ -88% |
| Univera | Univera_Medicare_Hamot_2024 | $145.95 | ↓ -85% |
| UPMC Health Plan | Commercial | $166.08 | ↓ -83% |
| Aetna | Commercial | $243.25 | ↓ -75% |
| Cigna | New Business ASO | $291.90 | ↓ -70% |
| Cigna | NBR ASO/FI | $291.90 | ↓ -70% |
| Univera | Commercial | $321.09 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $343.58 | ↓ -64% |
| Cigna | EBR | $389.20 | ↓ -59% |
| Cigna | Commercial | $389.20 | ↓ -59% |
| Highmark BCBS of PA | UPMC Emergent | $549.72 | ↓ -43% |
| InterGroup | Health Coalition Partners/PPO | $632.45 | ↓ -34% |
| Aetna | AXA/MMO | $681.10 | ↓ -29% |
| Multiplan | PPO (Includes PHCS as a Payer) | $681.10 | ↓ -29% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $778.40 | ↓ -19% |
| InterGroup | Beech Street | $778.40 | ↓ -19% |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification hepatitis c at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $609.60 | $36.95 – $812.80 |
| UPMC Bedford | Everett | $284.40 | $15.46 – $426.60 |
| UPMC Carlisle | Carlisle | $238.80 | $39.65 – $338.30 |
| UPMC Cole | Coudersport | $400.80 | $27.85 – $534.40 |
| UPMC Community Osteopathic | Harrisburg | $243.00 | $39.65 – $338.30 |
| UPMC East | Monroeville | $879.00 | $39.65 – $1,172.00 |
| UPMC Northwest | Seneca | $346.80 | $38.85 – $46.27 |
| UPMC Hanover | Hanover | $238.80 | $39.65 – $68.54 |