Ihc/icc per specimen each multiplex antibody stain at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$295.20
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.
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What you pay up front if you don't use insurance.
$492.00
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.
$48.29 with Highmark BCBS of PA vs $560.37 with Independent Health — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.29 | ↓ -84% |
| Univera | Univera_Medicare_Hamot_2024 | $73.80 | ↓ -75% |
| United Healthcare | Commercial | $76.97 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $88.49 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $97.34 | ↓ -67% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $101.76 | ↓ -66% |
| Aetna | Medicaid | $106.19 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $122.99 | ↓ -58% |
| Aetna | Commercial | $123.00 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $131.23 | ↓ -56% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $138.14 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $145.92 | ↓ -51% |
| Cigna | New Business ASO | $147.60 | ↓ -50% |
| Cigna | NBR ASO/FI | $147.60 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $150.80 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $152.54 | ↓ -48% |
| Univera | Commercial | $162.36 | ↓ -45% |
| Cigna | EBR | $196.80 | ↓ -33% |
| Cigna | Commercial | $196.80 | ↓ -33% |
| Highmark BCBS of PA | UPMC Emergent | $233.48 | ↓ -21% |
| InterGroup | Health Coalition Partners/PPO | $319.80 | ↑ +8% |
| Multiplan | PPO (Includes PHCS as a Payer) | $344.40 | ↑ +17% |
| Aetna | AXA/MMO | $344.40 | ↑ +17% |
| BCBS of Western NY | Commercial | $361.12 | ↑ +22% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $393.60 | ↑ +33% |
| InterGroup | Beech Street | $393.60 | ↑ +33% |
| Fidelis | Medicare | $395.81 | ↑ +34% |
| Aetna | Medicare | $403.73 | ↑ +37% |
| UPMC Health Plan | Partners/Select | $404.04 | ↑ +37% |
| Wellcare | Medicare Advantage | $407.68 | ↑ +38% |
| BCBS of Western NY | Medicare Advantage | $415.60 | ↑ +41% |
| Independent Health | Medicare Advantage | $420.75 | ↑ +43% |
| United Healthcare | Medicare | $423.52 | ↑ +43% |
| Highmark Wholecare (prev Gateway) | Medicare | $427.44 | ↑ +45% |
| Cigna | Medicare | $427.47 | ↑ +45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $427.47 | ↑ +45% |
| AmeriHealth Caritas | Medicare | $427.47 | ↑ +45% |
| UPMC Health Plan | Commercial | $515.57 | ↑ +75% |
| Independent Health | Commercial | $560.37 | ↑ +90% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ihc/icc per specimen each multiplex antibody stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $149.40 | $48.29 – $199.20 |
| UPMC Bedford | Everett | $141.00 | $88.49 – $211.50 |
| UPMC Carlisle | Carlisle | $664.80 | $74.87 – $941.80 |
| UPMC Cole | Coudersport | $411.00 | $53.00 – $548.00 |
| UPMC Community Osteopathic | Harrisburg | $664.80 | $9.80 – $1,032.47 |
| UPMC East | Monroeville | $303.00 | $48.75 – $404.00 |
| UPMC Northwest | Seneca | $272.40 | $97.34 – $360.10 |
| UPMC Hanover | Hanover | $664.80 | $74.87 – $549.82 |