Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual at UPMC Altoona
620 Howard Avenue, Altoona, PA · UPMC · · NPI 112418570
$181.20
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.
?
What you pay up front if you don't use insurance.
$302.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$82.44 with Highmark BCBS of PA vs $703.84 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $82.44 | ↓ -55% |
| Aetna | Medicaid | $83.35 | ↓ -54% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $83.35 | ↓ -54% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $87.52 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $91.69 | ↓ -49% |
| Geisinger | Medicaid | $115.85 | ↓ -36% |
| Highmark Wholecare (prev Gateway) | Medicaid | $123.61 | ↓ -32% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $130.12 | ↓ -28% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $142.05 | ↓ -22% |
| Cigna | Commercial | $151.00 | ↓ -17% |
| Preferred Healthcare System | PPO | $151.00 | ↓ -17% |
| United Healthcare | Commercial | $154.81 | ↓ -15% |
| Aetna | Commercial | $160.06 | ↓ -12% |
| Geisinger | Commercial | $166.10 | ↓ -8% |
| UPMC Health Plan | Managed Medicare | $166.60 | ↓ -8% |
| UPMC Health Plan | Partners/Select | $169.35 | ↓ -7% |
| United Healthcare | Medicare | $174.81 | ↓ -4% |
| AmeriHealth Caritas | Medicare | $176.44 | ↓ -3% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.44 | ↓ -3% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↓ -3% |
| Cigna | Medicare | $176.44 | ↓ -3% |
| UPMC Work Partners | Workers Comp | $190.58 | ↑ +5% |
| Private Health Care Systems | PPO | $241.60 | ↑ +33% |
| UPMC Health Plan | CHIP | $645.96 | ↑ +256% |
| UPMC Health Plan | Commercial | $703.84 | ↑ +288% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $511.80 | $58.94 – $767.70 |
| UPMC Carlisle | Carlisle | $337.20 | $46.48 – $477.70 |
| UPMC Cole | Coudersport | $262.20 | $53.00 – $349.60 |
| UPMC Community Osteopathic | Harrisburg | $337.20 | $46.48 – $645.96 |
| UPMC East | Monroeville | $320.40 | $83.22 – $427.20 |
| UPMC Hamot | Erie | $1,262.40 | $38.10 – $213.04 |
| UPMC Northwest | Seneca | $459.60 | $91.69 – $190.58 |
| UPMC Hanover | Hanover | $337.20 | $46.48 – $261.92 |