Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$1,262.40
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.
$2,104.00
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.
$38.10 with United Healthcare vs $398.56 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare | Commercial | $38.10 | ↓ -97% |
| Univera | Univera_Medicare_Hamot_2024 | $73.80 | ↓ -94% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $82.44 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $83.35 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $91.69 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $95.85 | ↓ -92% |
| Aetna | Medicaid | $100.02 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $115.85 | ↓ -91% |
| Aetna | Commercial | $123.00 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $123.61 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $130.12 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $142.05 | ↓ -89% |
| Cigna | New Business ASO | $147.60 | ↓ -88% |
| Cigna | NBR ASO/FI | $147.60 | ↓ -88% |
| Univera | Commercial | $162.36 | ↓ -87% |
| Fidelis | Medicare | $188.55 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $190.58 | ↓ -85% |
| Aetna | Medicare | $192.32 | ↓ -85% |
| UPMC Health Plan | Partners/Select | $192.47 | ↓ -85% |
| Wellcare | Medicare Advantage | $194.21 | ↓ -85% |
| Cigna | Commercial | $196.80 | ↓ -84% |
| Cigna | EBR | $196.80 | ↓ -84% |
| BCBS of Western NY | Medicare Advantage | $197.98 | ↓ -84% |
| United Healthcare | Medicare | $201.75 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $203.62 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $203.63 | ↓ -84% |
| Cigna | Medicare | $203.63 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $203.63 | ↓ -84% |
| Independent Health | Medicare Advantage | $213.04 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $249.11 | ↓ -80% |
| BCBS of Western NY | Commercial | $253.94 | ↓ -80% |
| Independent Health | Commercial | $283.73 | ↓ -78% |
| InterGroup | Health Coalition Partners/PPO | $319.80 | ↓ -75% |
| UPMC Health Plan | Commercial | $322.56 | ↓ -74% |
| Aetna | AXA/MMO | $344.40 | ↓ -73% |
| Multiplan | PPO (Includes PHCS as a Payer) | $344.40 | ↓ -73% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $393.60 | ↓ -69% |
| InterGroup | Beech Street | $393.60 | ↓ -69% |
| Highmark BCBS of PA | UPMC Emergent | $398.56 | ↓ -68% |
| 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 Altoona | Altoona | $181.20 | $82.44 – $241.60 |
| 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 Northwest | Seneca | $459.60 | $91.69 – $190.58 |
| UPMC Hanover | Hanover | $337.20 | $46.48 – $261.92 |