CMS Price Transparency Data

Culture, blood

Facility: UPMC Hamot

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12
about 1.2× the $10 Medicare rate · typically $10–$13
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
Above the fair price
about $2 over the fair price · 1.4× Medicare
Medicare pays $10 Fair price $12 This hospital $14 Cash price $240 Hospital's list price $400

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $10 Priciest $14

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Culture, blood is about $12 (about 1.2× the $10 Medicare rate). UPMC Hamot charges insurers about $14, or about $240 in cash — above the fair price. Located in Erie, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $12. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $11 - $16 107%
Blue Cross Blue Shieldmajor $11 - $97 107%
Aetnamajor $11 - $280 107%
Cignamajor $11 - $160 107%
AmeriHealth $11 - $22 107%
Fidelis Care $10 97%
Geisinger $19 184%
HealthPartners $14 136%
Independent Health $11 107%
UPMC Health Plan $10 - $32 97%
WellCare $11 107%
+ 3 smaller / regional plans $11 - $320
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 201 State Street, Erie, PA 16550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals