Warde analysis gene hfe common variants at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$2,381.40
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.
$3,969.00
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.
$64.60 with UPMC Work Partners vs $1,880.80 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 | $64.60 | ↓ -97% |
| Fidelis | Medicare | $65.36 | ↓ -97% |
| Aetna | Medicare | $66.67 | ↓ -97% |
| UPMC Health Plan | Partners/Select | $66.72 | ↓ -97% |
| Independent Health | Medicare Advantage | $67.32 | ↓ -97% |
| Wellcare | Medicare Advantage | $67.32 | ↓ -97% |
| Independent Health | Commercial | $67.32 | ↓ -97% |
| BCBS of Western NY | Medicare Advantage | $68.63 | ↓ -97% |
| United Healthcare | Medicare | $69.94 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $70.58 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $70.59 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $70.59 | ↓ -97% |
| Cigna | Medicare | $70.59 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $71.34 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $78.47 | ↓ -97% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $82.04 | ↓ -97% |
| Aetna | Medicaid | $85.61 | ↓ -96% |
| United Healthcare | Commercial | $89.17 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $99.16 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $105.80 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $111.37 | ↓ -95% |
| UPMC Health Plan | Commercial | $119.74 | ↓ -95% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $121.58 | ↓ -95% |
| BCBS of Western NY | Commercial | $137.76 | ↓ -94% |
| Univera | Univera_Medicare_Hamot_2024 | $352.65 | ↓ -85% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $363.01 | ↓ -85% |
| Aetna | Commercial | $587.75 | ↓ -75% |
| Cigna | NBR ASO/FI | $705.30 | ↓ -70% |
| Cigna | New Business ASO | $705.30 | ↓ -70% |
| Univera | Commercial | $775.83 | ↓ -67% |
| Cigna | Commercial | $940.40 | ↓ -61% |
| Cigna | EBR | $940.40 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $1,096.90 | ↓ -54% |
| InterGroup | Health Coalition Partners/PPO | $1,528.15 | ↓ -36% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,645.70 | ↓ -31% |
| Aetna | AXA/MMO | $1,645.70 | ↓ -31% |
| Highmark BCBS of PA | UPMC Emergent | $1,755.03 | ↓ -26% |
| InterGroup | Beech Street | $1,880.80 | ↓ -21% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,880.80 | ↓ -21% |
Visitor-reported prices
Comments
Warde analysis gene hfe common variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,531.20 | $64.60 – $587.20 |
| UPMC Bedford | Everett | $1,590.60 | $23.58 – $2,385.90 |
| UPMC Carlisle | Carlisle | $378.60 | $64.71 – $536.35 |
| UPMC Cole | Coudersport | $474.60 | $53.00 – $632.80 |
| UPMC Community Osteopathic | Harrisburg | $378.60 | $64.71 – $536.35 |
| UPMC East | Monroeville | $1,590.60 | $64.60 – $2,120.80 |
| UPMC Northwest | Seneca | $2,381.40 | $59.27 – $82.04 |
| UPMC Hanover | Hanover | $378.60 | $64.71 – $104.58 |