Tgsap so/hl 51/< rna alys at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,157.60
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.
$3,596.00
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.
$539.40 with Univera vs $5,626.10 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 | $539.40 | ↓ -75% |
| Aetna | Commercial | $899.00 | ↓ -58% |
| Cigna | New Business ASO | $1,078.80 | ↓ -50% |
| Cigna | NBR ASO/FI | $1,078.80 | ↓ -50% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,163.68 | ↓ -46% |
| Univera | Commercial | $1,186.68 | ↓ -45% |
| UPMC Health Plan | Commercial | $1,323.33 | ↓ -39% |
| Cigna | Commercial | $1,438.40 | ↓ -33% |
| Cigna | EBR | $1,438.40 | ↓ -33% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,335.68 | ↑ +8% |
| InterGroup | Health Coalition Partners/PPO | $2,337.40 | ↑ +8% |
| Aetna | AXA/MMO | $2,517.20 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,517.20 | ↑ +17% |
| UPMC Health Plan | Managed Medicaid | $2,569.25 | ↑ +19% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $2,686.03 | ↑ +24% |
| Aetna | Medicaid | $2,802.82 | ↑ +30% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,876.80 | ↑ +33% |
| InterGroup | Beech Street | $2,876.80 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $2,885.51 | ↑ +34% |
| Independent Health | Medicare Advantage | $2,919.60 | ↑ +35% |
| United Healthcare | Commercial | $2,919.60 | ↑ +35% |
| Fidelis | Medicare | $2,919.60 | ↑ +35% |
| Independent Health | Commercial | $2,919.60 | ↑ +35% |
| Aetna | Medicare | $2,977.99 | ↑ +38% |
| UPMC Health Plan | Partners/Select | $2,980.33 | ↑ +38% |
| Wellcare | Medicare Advantage | $3,007.19 | ↑ +39% |
| BCBS of Western NY | Medicare Advantage | $3,065.58 | ↑ +42% |
| United Healthcare | Medicare | $3,123.97 | ↑ +45% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,152.88 | ↑ +46% |
| Cigna | Medicare | $3,153.17 | ↑ +46% |
| AmeriHealth Caritas | Medicare | $3,153.17 | ↑ +46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,153.17 | ↑ +46% |
| Geisinger | Medicaid/CHIP | $3,246.36 | ↑ +50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,463.81 | ↑ +61% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $3,516.34 | ↑ +63% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,646.23 | ↑ +69% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,980.47 | ↑ +84% |
| BCBS of Western NY | Commercial | $3,999.78 | ↑ +85% |
| Highmark BCBS of PA | UPMC Emergent | $5,626.10 | ↑ +161% |
Visitor-reported prices
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Tgsap so/hl 51/< rna alys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,116.80 | $1,163.68 – $3,153.17 |
| UPMC Bedford | Everett | $2,157.60 | $1,053.39 – $3,246.36 |
| UPMC East | Monroeville | $8,626.80 | $1,174.76 – $3,246.36 |
| UPMC Horizon-Greenville | Greenville | $8,138.40 | $1,881.63 – $3,246.36 |
| UPMC Jameson | New Castle | $2,157.60 | $1,184.22 – $3,153.17 |
| UPMC Magee | Pittsburgh | $8,626.80 | $1,174.76 – $3,980.47 |
| UPMC McKeesport | Mckeesport | $2,287.20 | $1,174.76 – $3,211.56 |
| UPMC Mercy | Pittsburgh | $2,157.60 | $1,163.68 – $3,211.56 |