Tpmt gene com vrnts at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$477.00
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.
$795.00
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.
$110.86 with Highmark BCBS of PA vs $636.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $110.86 | ↓ -77% |
| Univera | Univera_Medicare_Hamot_2024 | $119.25 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $172.77 | ↓ -64% |
| United Healthcare | Commercial | $174.81 | ↓ -63% |
| Fidelis | Medicare | $174.81 | ↓ -63% |
| Aetna | Medicare | $178.31 | ↓ -63% |
| UPMC Health Plan | Partners/Select | $178.45 | ↓ -63% |
| Independent Health | Medicare Advantage | $180.05 | ↓ -62% |
| Wellcare | Medicare Advantage | $180.05 | ↓ -62% |
| Independent Health | Commercial | $180.05 | ↓ -62% |
| BCBS of Western NY | Medicare Advantage | $183.55 | ↓ -62% |
| United Healthcare | Medicare | $187.05 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicare | $188.78 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $188.79 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $188.79 | ↓ -60% |
| Cigna | Medicare | $188.79 | ↓ -60% |
| Aetna | Commercial | $198.75 | ↓ -58% |
| Cigna | NBR ASO/FI | $238.50 | ↓ -50% |
| Cigna | New Business ASO | $238.50 | ↓ -50% |
| Univera | Commercial | $262.35 | ↓ -45% |
| Cigna | Commercial | $318.00 | ↓ -33% |
| Cigna | EBR | $318.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $334.99 | ↓ -30% |
| BCBS of Western NY | Commercial | $368.43 | ↓ -23% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $437.25 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $437.25 | ↓ -8% |
| InterGroup | Health Coalition Partners/PPO | $516.75 | ↑ +8% |
| UPMC Health Plan | Commercial | $534.34 | ↑ +12% |
| Highmark BCBS of PA | UPMC Emergent | $535.97 | ↑ +12% |
| Multiplan | PPO (Includes PHCS as a Payer) | $556.50 | ↑ +17% |
| Aetna | AXA/MMO | $556.50 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $636.00 | ↑ +33% |
| InterGroup | Beech Street | $636.00 | ↑ +33% |
Visitor-reported prices
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Tpmt gene com vrnts at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $472.80 | $110.86 – $630.40 |
| UPMC Carlisle | Carlisle | $1,009.80 | $96.15 – $1,430.55 |
| UPMC Community Osteopathic | Harrisburg | $1,009.80 | $139.69 – $1,430.55 |
| UPMC East | Monroeville | $477.00 | $111.91 – $636.00 |
| UPMC Northwest | Seneca | $477.00 | $158.54 – $188.79 |
| UPMC Hanover | Hanover | $1,009.80 | $139.69 – $1,070.05 |
| UPMC Horizon-Greenville | Greenville | $477.00 | $156.51 – $188.79 |
| UPMC Jameson | New Castle | $477.00 | $112.82 – $188.79 |