Irradiation of blood product each unit reference at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$294.60
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.
$491.00
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.
$14.66 with BCBS of Western NY vs $383.20 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 |
|---|---|---|---|
| BCBS of Western NY | Commercial | $14.66 | ↓ -95% |
| United Healthcare | Commercial | $17.96 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $38.05 | ↓ -87% |
| Fidelis | Medicare | $43.19 | ↓ -85% |
| Aetna | Medicare | $44.05 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $44.09 | ↓ -85% |
| Wellcare | Medicare Advantage | $44.49 | ↓ -85% |
| BCBS of Western NY | Medicare Advantage | $45.35 | ↓ -85% |
| United Healthcare | Medicare | $46.21 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $46.64 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $46.65 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $46.65 | ↓ -84% |
| Cigna | Medicare | $46.65 | ↓ -84% |
| Independent Health | Medicare Advantage | $49.63 | ↓ -83% |
| UPMC Health Plan | Commercial | $50.78 | ↓ -83% |
| Independent Health | Commercial | $66.10 | ↓ -78% |
| Univera | Univera_Medicare_Hamot_2024 | $71.85 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $114.98 | ↓ -61% |
| Aetna | Commercial | $119.75 | ↓ -59% |
| Cigna | NBR ASO/FI | $143.70 | ↓ -51% |
| Cigna | New Business ASO | $143.70 | ↓ -51% |
| Univera | Commercial | $158.07 | ↓ -46% |
| Highmark BCBS of PA | UPMC Emergent | $183.96 | ↓ -38% |
| Cigna | Commercial | $191.60 | ↓ -35% |
| Cigna | EBR | $191.60 | ↓ -35% |
| Geisinger | Medicaid/CHIP | $263.45 | ↓ -11% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $263.45 | ↓ -11% |
| InterGroup | Health Coalition Partners/PPO | $311.35 | ↑ +6% |
| Multiplan | PPO (Includes PHCS as a Payer) | $335.30 | ↑ +14% |
| Aetna | AXA/MMO | $335.30 | ↑ +14% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $383.20 | ↑ +30% |
| InterGroup | Beech Street | $383.20 | ↑ +30% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Irradiation of blood product each unit reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $98.40 | $38.05 – $131.20 |
| UPMC Bedford | Everett | $238.80 | $13.50 – $358.20 |
| UPMC East | Monroeville | $287.40 | $27.98 – $383.20 |
| UPMC Northwest | Seneca | $63.60 | $28.24 – $40.41 |
| UPMC Horizon-Greenville | Greenville | $112.80 | $28.33 – $61.52 |
| UPMC Jameson | New Castle | $70.20 | $2.20 – $40.41 |
| UPMC Magee | Pittsburgh | $138.00 | $29.60 – $41.16 |
| UPMC McKeesport | Mckeesport | $186.60 | $28.72 – $41.16 |