Trg gene rearrangement anal at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,148.40
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.
$1,914.00
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.
$160.95 with Univera vs $1,231.55 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 | $160.95 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $199.14 | ↓ -83% |
| Fidelis | Medicare | $201.50 | ↓ -82% |
| Aetna | Medicare | $205.53 | ↓ -82% |
| UPMC Health Plan | Partners/Select | $205.69 | ↓ -82% |
| Wellcare | Medicare Advantage | $207.54 | ↓ -82% |
| Independent Health | Medicare Advantage | $207.55 | ↓ -82% |
| Independent Health | Commercial | $207.55 | ↓ -82% |
| BCBS of Western NY | Medicare Advantage | $211.57 | ↓ -82% |
| United Healthcare | Medicare | $215.60 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicare | $217.60 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $217.62 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $217.62 | ↓ -81% |
| Cigna | Medicare | $217.62 | ↓ -81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $254.73 | ↓ -78% |
| Aetna | Commercial | $268.25 | ↓ -77% |
| United Healthcare | Commercial | $274.90 | ↓ -76% |
| Cigna | NBR ASO/FI | $321.90 | ↓ -72% |
| Cigna | New Business ASO | $321.90 | ↓ -72% |
| Univera | Commercial | $354.09 | ↓ -69% |
| BCBS of Western NY | Commercial | $424.69 | ↓ -63% |
| Cigna | EBR | $429.20 | ↓ -63% |
| Cigna | Commercial | $429.20 | ↓ -63% |
| UPMC Health Plan | Commercial | $458.75 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $590.15 | ↓ -49% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $590.15 | ↓ -49% |
| InterGroup | Health Coalition Partners/PPO | $697.45 | ↓ -39% |
| Aetna | AXA/MMO | $751.10 | ↓ -35% |
| Multiplan | PPO (Includes PHCS as a Payer) | $751.10 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $769.73 | ↓ -33% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $858.40 | ↓ -25% |
| InterGroup | Beech Street | $858.40 | ↓ -25% |
| Highmark BCBS of PA | UPMC Emergent | $1,231.55 | ↑ +7% |
Visitor-reported prices
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Trg gene rearrangement anal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $950.40 | $199.14 – $405.60 |
| UPMC Bedford | Everett | $1,114.20 | $72.70 – $965.70 |
| UPMC Cole | Coudersport | $908.40 | $53.00 – $1,211.20 |
| UPMC East | Monroeville | $1,114.20 | $172.26 – $417.60 |
| UPMC Northwest | Seneca | $1,051.20 | $182.74 – $217.62 |
| UPMC Horizon-Greenville | Greenville | $1,114.20 | $180.40 – $378.11 |
| UPMC Jameson | New Castle | $1,114.80 | $141.36 – $259.22 |
| UPMC Magee | Pittsburgh | $1,114.80 | $188.58 – $257.16 |