healthcosts.net
Urinalysis (with microscopy) at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$134.40
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.
$224.00
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.
$3.00 with Health Partners Plans (Jefferson Health Plan) vs $179.20 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $3.00 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $3.13 | ↓ -98% |
| Fidelis | Medicare | $3.17 | ↓ -98% |
| Aetna | Medicare | $3.23 | ↓ -98% |
| UPMC Health Plan | Partners/Select | $3.24 | ↓ -98% |
| Independent Health | Medicare Advantage | $3.27 | ↓ -98% |
| Independent Health | Commercial | $3.27 | ↓ -98% |
| Wellcare | Medicare Advantage | $3.27 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $3.30 | ↓ -98% |
| BCBS of Western NY | Medicare Advantage | $3.33 | ↓ -98% |
| United Healthcare | Medicare | $3.39 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $3.42 | ↓ -97% |
| Cigna | Medicare | $3.42 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $3.42 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3.42 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $3.45 | ↓ -97% |
| Aetna | Medicaid | $3.60 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $4.17 | ↓ -97% |
| BCBS of Western NY | Commercial | $4.34 | ↓ -97% |
| United Healthcare | Commercial | $4.35 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.45 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.68 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $5.11 | ↓ -96% |
| UPMC Health Plan | Commercial | $6.85 | ↓ -95% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $8.40 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $25.39 | ↓ -81% |
| Univera | Univera_Medicare_Hamot_2024 | $33.60 | ↓ -75% |
| Highmark BCBS of PA | UPMC Emergent | $40.62 | ↓ -70% |
| Aetna | Commercial | $56.00 | ↓ -58% |
| Cigna | NBR ASO/FI | $67.20 | ↓ -50% |
| Cigna | New Business ASO | $67.20 | ↓ -50% |
| Univera | Commercial | $73.92 | ↓ -45% |
| Cigna | EBR | $89.60 | ↓ -33% |
| Cigna | Commercial | $89.60 | ↓ -33% |
| InterGroup | Health Coalition Partners/PPO | $145.60 | ↑ +8% |
| Aetna | AXA/MMO | $156.80 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $156.80 | ↑ +17% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $179.20 | ↑ +33% |
| InterGroup | Beech Street | $179.20 | ↑ +33% |
Visitor-reported prices
Comments
Urinalysis (with microscopy) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $64.80 | $3.00 – $86.40 |
| UPMC Passavant-McCandless | Pittsburgh | $131.40 | $2.95 – $186.15 |
| UPMC Carlisle | Carlisle | $23.40 | $3.00 – $33.15 |
| UPMC Altoona | Altoona | $48.00 | $3.00 – $64.00 |
| UPMC Bedford | Everett | $33.00 | $1.14 – $49.50 |
| UPMC Cole | Coudersport | $34.20 | $2.06 – $45.60 |
| UPMC Community Osteopathic | Harrisburg | $23.40 | $3.00 – $28.05 |
| UPMC Hanover | Hanover | $23.40 | $3.00 – $33.93 |