Ihc/icc per specimen initial single antibody stain at WellSpan Gettysburg Hospital
147 Gettys Street, Gettysburg, PA · Wellspan · · NPI 1265466957
$253.60
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.
$317.00
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.
$50.17 with UPMC_Medicaid vs $1,025.35 with Highmark — 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $50.17 | ↓ -80% |
| Amerihealth_Caritas_Medicaid | All_Plans | $68.68 | ↓ -73% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $85.85 | ↓ -66% |
| Health_Partners_Medicaid | All_Other_Plans | $85.85 | ↓ -66% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $85.85 | ↓ -66% |
| Geisinger_Medicaid | All_Plans | $85.85 | ↓ -66% |
| Blue_Cross | Capital_Blue_Performance_PPO | $151.18 | ↓ -40% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $175.48 | ↓ -31% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $175.48 | ↓ -31% |
| Highmark_Medicare | All_Plans | $177.23 | ↓ -30% |
| Blue_Cross | Capital_Cares_4_kids | $177.93 | ↓ -30% |
| Aetna_Medicare | All_Plans | $180.74 | ↓ -29% |
| Aetna_Advantra_Medicare | All_Plans | $180.74 | ↓ -29% |
| Devoted_Medicare | All_Plans | $184.25 | ↓ -27% |
| United_Medicare | ISNP_DSNP_Plans | $184.25 | ↓ -27% |
| Geisinger_Gold_Medicare | All_Plans | $184.25 | ↓ -27% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $185.04 | ↓ -27% |
| Amerihealth_Medicare | All_Plans | $185.13 | ↓ -27% |
| PA_Health_&_Wellness_Medicare | All_Plans | $189.52 | ↓ -25% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $189.52 | ↓ -25% |
| Health_Partners_Medicaid | Kidz_Partners | $193.03 | ↓ -24% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $211.54 | ↓ -17% |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $211.54 | ↓ -17% |
| Aetna_Better_Health_Kids | All_Plans | $233.51 | ↓ -8% |
| UPMC | Employees_And_Dependents | $253.60 | ↑ +0% |
| UPMC | UPMC_For_Kids | $253.60 | ↑ +0% |
| PHC | All_Plans | $253.60 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $254.20 | ↑ +0% |
| Highmark | Higmark_Healthy_Kids | $263.22 | ↑ +4% |
| Cigna | All_Plans | $266.34 | ↑ +5% |
| Aetna | All_Plans | $286.57 | ↑ +13% |
| First_Health_Network | All_Plans | $289.74 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $291.64 | ↑ +15% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $294.81 | ↑ +16% |
| Geisinger | All_Plans | $301.15 | ↑ +19% |
| United_Medicaid | Community_Plan_For_Kids | $307.09 | ↑ +21% |
| United_Healthcare | All_Plans | $488.22 | ↑ +93% |
| Highmark | My_Priority_Blue_Flex | $615.20 | ↑ +143% |
| Highmark | My_Direct_Blue | $615.20 | ↑ +143% |
| Highmark | Blue_Cross_High_Performance_Network | $820.28 | ↑ +223% |
| Highmark | Choice_Blue_PPO | $820.28 | ↑ +223% |
| Highmark | Performance_Blue | $820.28 | ↑ +223% |
| Highmark | All_Other_Plans | $1,025.35 | ↑ +304% |
Visitor-reported prices
Comments
Ihc/icc per specimen initial single antibody stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $156.60 | $26.86 – $208.80 |
| UPMC Bedford | Everett | $141.00 | $28.83 – $211.50 |
| UPMC Carlisle | Carlisle | $337.20 | $52.58 – $477.70 |
| UPMC Cole | Coudersport | $219.60 | $53.00 – $292.80 |
| UPMC Community Osteopathic | Harrisburg | $337.20 | $27.00 – $180.36 |
| UPMC East | Monroeville | $303.00 | $28.44 – $404.00 |
| UPMC Hamot | Erie | $295.20 | $38.10 – $213.04 |
| UPMC Northwest | Seneca | $272.40 | $28.70 – $171.54 |