Tissue culture skin/biopsy at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,636.80
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.
$2,728.00
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.
$139.08 with UPMC Work Partners vs $2,182.40 with Multiplan — 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 | $139.08 | ↓ -92% |
| Fidelis | Medicare | $140.73 | ↓ -91% |
| Aetna | Medicare | $143.54 | ↓ -91% |
| UPMC Health Plan | Partners/Select | $143.66 | ↓ -91% |
| Independent Health | Medicare Advantage | $144.95 | ↓ -91% |
| Wellcare | Medicare Advantage | $144.95 | ↓ -91% |
| Independent Health | Commercial | $144.95 | ↓ -91% |
| BCBS of Western NY | Medicare Advantage | $147.77 | ↓ -91% |
| United Healthcare | Medicare | $150.58 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $151.97 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $151.99 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $151.99 | ↓ -91% |
| Cigna | Medicare | $151.99 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $189.00 | ↓ -88% |
| BCBS of Western NY | Commercial | $192.78 | ↓ -88% |
| United Healthcare | Commercial | $193.44 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $207.90 | ↓ -87% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $217.35 | ↓ -87% |
| Aetna | Medicaid | $226.80 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $262.69 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $280.29 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $295.05 | ↓ -82% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $322.09 | ↓ -80% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $382.52 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $409.20 | ↓ -75% |
| UPMC Health Plan | Commercial | $542.70 | ↓ -67% |
| Aetna | Commercial | $682.00 | ↓ -58% |
| Cigna | NBR ASO/FI | $818.40 | ↓ -50% |
| Cigna | New Business ASO | $818.40 | ↓ -50% |
| Univera | Commercial | $900.24 | ↓ -45% |
| Cigna | EBR | $1,091.20 | ↓ -33% |
| Cigna | Commercial | $1,091.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,155.88 | ↓ -29% |
| InterGroup | Health Coalition Partners/PPO | $1,773.20 | ↑ +8% |
| Highmark BCBS of PA | UPMC Emergent | $1,849.39 | ↑ +13% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,909.60 | ↑ +17% |
| Aetna | AXA/MMO | $1,909.60 | ↑ +17% |
| InterGroup | Beech Street | $2,182.40 | ↑ +33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,182.40 | ↑ +33% |
Visitor-reported prices
Comments
Tissue culture skin/biopsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,299.00 | $139.08 – $1,732.00 |
| UPMC Bedford | Everett | $1,359.60 | $50.78 – $2,039.40 |
| UPMC Carlisle | Carlisle | $1,007.40 | $139.32 – $1,427.15 |
| UPMC Cole | Coudersport | $635.40 | $53.00 – $847.20 |
| UPMC Community Osteopathic | Harrisburg | $1,007.40 | $139.32 – $1,427.15 |
| UPMC East | Monroeville | $2,340.60 | $139.08 – $3,120.80 |
| UPMC Northwest | Seneca | $1,296.60 | $127.63 – $217.35 |
| UPMC Hanover | Hanover | $1,007.40 | $139.32 – $257.42 |