Mayo sfgp rickettsia rickettsii antibody igg at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$156.60
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.
$261.00
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.
$19.13 with UPMC Work Partners vs $248.40 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $19.13 | ↓ -88% |
| Fidelis | Medicare | $19.35 | ↓ -88% |
| Aetna | Medicare | $19.74 | ↓ -87% |
| UPMC Health Plan | Partners/Select | $19.75 | ↓ -87% |
| Independent Health | Medicare Advantage | $19.93 | ↓ -87% |
| Wellcare | Medicare Advantage | $19.93 | ↓ -87% |
| Independent Health | Commercial | $19.93 | ↓ -87% |
| BCBS of Western NY | Medicare Advantage | $20.32 | ↓ -87% |
| United Healthcare | Medicare | $20.70 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.90 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $20.90 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $20.90 | ↓ -87% |
| Cigna | Medicare | $20.90 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $21.40 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $23.54 | ↓ -85% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $24.61 | ↓ -84% |
| Aetna | Medicaid | $25.68 | ↓ -84% |
| BCBS of Western NY | Commercial | $26.52 | ↓ -83% |
| United Healthcare | Commercial | $26.60 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $29.74 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.74 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $33.41 | ↓ -79% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $36.47 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $39.15 | ↓ -75% |
| UPMC Health Plan | Commercial | $45.11 | ↓ -71% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $51.38 | ↓ -67% |
| Aetna | Commercial | $65.25 | ↓ -58% |
| Cigna | New Business ASO | $78.30 | ↓ -50% |
| Cigna | NBR ASO/FI | $78.30 | ↓ -50% |
| Univera | Commercial | $86.13 | ↓ -45% |
| Cigna | EBR | $104.40 | ↓ -33% |
| Cigna | Commercial | $104.40 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $155.25 | ↓ -1% |
| InterGroup | Health Coalition Partners/PPO | $169.65 | ↑ +8% |
| Aetna | AXA/MMO | $182.70 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $182.70 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $208.80 | ↑ +33% |
| InterGroup | Beech Street | $208.80 | ↑ +33% |
| Highmark BCBS of PA | UPMC Emergent | $248.40 | ↑ +59% |
Visitor-reported prices
Comments
Mayo sfgp rickettsia rickettsii antibody igg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $175.20 | $19.13 – $233.60 |
| UPMC Bedford | Everett | $114.60 | $6.98 – $171.90 |
| UPMC Carlisle | Carlisle | $107.40 | $19.09 – $152.15 |
| UPMC Community Osteopathic | Harrisburg | $107.40 | $18.00 – $90.33 |
| UPMC East | Monroeville | $397.80 | $19.13 – $530.40 |
| UPMC Northwest | Seneca | $175.80 | $17.55 – $24.61 |
| UPMC Hanover | Hanover | $107.40 | $19.09 – $30.96 |
| UPMC Horizon-Greenville | Greenville | $154.80 | $17.32 – $36.31 |