Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,068.00
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.
$1,780.00
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.
$139.57 with UPMC Health Plan vs $1,068.80 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $139.57 | ↓ -87% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $160.25 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $162.04 | ↓ -85% |
| Fidelis | Medicare | $163.96 | ↓ -85% |
| Aetna | Medicare | $167.24 | ↓ -84% |
| UPMC Health Plan | Partners/Select | $167.37 | ↓ -84% |
| Independent Health | Commercial | $168.88 | ↓ -84% |
| Independent Health | Medicare Advantage | $168.88 | ↓ -84% |
| Wellcare | Medicare Advantage | $168.88 | ↓ -84% |
| BCBS of Western NY | Medicare Advantage | $172.16 | ↓ -84% |
| United Healthcare | Medicare | $175.44 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $177.06 | ↓ -83% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $177.08 | ↓ -83% |
| AmeriHealth Caritas | Medicare | $177.08 | ↓ -83% |
| Cigna | Medicare | $177.08 | ↓ -83% |
| Univera | Univera_Medicare_Hamot_2024 | $200.40 | ↓ -81% |
| United Healthcare | Commercial | $223.69 | ↓ -79% |
| Aetna | Commercial | $334.00 | ↓ -69% |
| BCBS of Western NY | Commercial | $345.57 | ↓ -68% |
| Cigna | NBR ASO/FI | $400.80 | ↓ -62% |
| Cigna | New Business ASO | $400.80 | ↓ -62% |
| Univera | Commercial | $440.88 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $484.22 | ↓ -55% |
| Cigna | Commercial | $534.40 | ↓ -50% |
| Cigna | EBR | $534.40 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $734.80 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $734.80 | ↓ -31% |
| Highmark BCBS of PA | UPMC Emergent | $774.75 | ↓ -27% |
| InterGroup | Health Coalition Partners/PPO | $868.40 | ↓ -19% |
| Multiplan | PPO (Includes PHCS as a Payer) | $935.20 | ↓ -12% |
| Aetna | AXA/MMO | $935.20 | ↓ -12% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $1,068.80 | ↑ +0% |
| InterGroup | Beech Street | $1,068.80 | ↑ +0% |
Visitor-reported prices
Comments
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $964.80 | $112.50 – $180.00 |
| UPMC Bedford | Everett | $703.20 | $59.16 – $1,054.80 |
| UPMC Carlisle | Carlisle | $947.40 | $90.18 – $1,342.15 |
| UPMC Cole | Coudersport | $752.40 | $53.00 – $1,003.20 |
| UPMC Community Osteopathic | Harrisburg | $947.40 | $131.03 – $1,342.15 |
| UPMC East | Monroeville | $1,051.20 | $76.89 – $937.60 |
| UPMC Northwest | Seneca | $1,051.20 | $77.60 – $177.08 |
| UPMC Hanover | Hanover | $947.40 | $113.99 – $279.50 |