Ihc/icc per specimen each additional single antibody stain at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$141.00
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.
$235.00
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.
$51.11 with Health Partners Plans (Jefferson Health Plan) vs $211.50 with SelectCare — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.11 | ↓ -64% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $53.67 | ↓ -62% |
| UPMC Health Plan | Managed Medicaid | $56.22 | ↓ -60% |
| Aetna | Medicare | $58.75 | ↓ -58% |
| United Healthcare Community Plan for Families | Unison Kids | $58.78 | ↓ -58% |
| Aetna | Medicaid | $63.89 | ↓ -55% |
| Geisinger | Medicaid/CHIP | $71.04 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.80 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $79.74 | ↓ -43% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.79 | ↓ -43% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $87.10 | ↓ -38% |
| UPMC Work Partners | Workers Comp | $87.64 | ↓ -38% |
| Aetna | EBR ASO | $94.00 | ↓ -33% |
| Cigna | EBR | $94.00 | ↓ -33% |
| Cigna | Commercial | $94.00 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $98.24 | ↓ -30% |
| Aetna | EBR FI | $115.15 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $117.50 | ↓ -17% |
| United Healthcare | Compass Exchange | $129.25 | ↓ -8% |
| Aetna | Neighborhood Network | $145.70 | ↑ +3% |
| Aetna | Home Depot Employer Group | $149.69 | ↑ +6% |
| Cigna | NBR ASO/FI | $152.75 | ↑ +8% |
| United Healthcare | All Business | $152.75 | ↑ +8% |
| Aetna | NBR ASO/FI | $152.75 | ↑ +8% |
| Cigna | New Business ASO | $152.75 | ↑ +8% |
| InterGroup | PPO | $152.75 | ↑ +8% |
| UPMC Health Plan | Commercial | $153.90 | ↑ +9% |
| Coventry/First Health | Commercial | $164.50 | ↑ +17% |
| UPMC Health Plan | CHIP | $181.94 | ↑ +29% |
| Preferred Healthcare System | PPO | $188.00 | ↑ +33% |
| Private Health Care Systems | PPO | $211.50 | ↑ +50% |
| Health Coalition Partners | Intergroup | $211.50 | ↑ +50% |
| Humana | Commercial | $211.50 | ↑ +50% |
| SelectCare | Commercial | $211.50 | ↑ +50% |
Visitor-reported prices
Comments
Ihc/icc per specimen each additional single antibody stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $141.60 | $28.76 – $188.80 |
| UPMC Carlisle | Carlisle | $157.20 | $35.89 – $222.70 |
| UPMC Cole | Coudersport | $193.20 | $53.00 – $257.60 |
| UPMC Community Osteopathic | Harrisburg | $157.20 | $27.00 – $181.94 |
| UPMC East | Monroeville | $166.20 | $29.03 – $221.60 |
| UPMC Hamot | Erie | $295.20 | $28.76 – $190.62 |
| UPMC Northwest | Seneca | $272.40 | $56.22 – $87.64 |
| UPMC Hanover | Hanover | $157.20 | $44.58 – $167.96 |