Ihc/icc per specimen each multiplex antibody stain at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$181.80
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.
$303.00
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.
$78.09 with Highmark BCBS of PA vs $1,032.47 with UPMC Health Plan — 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 | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $78.09 | ↓ -57% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $88.49 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $96.20 | ↓ -47% |
| UPMC Health Plan | Managed Medicaid | $97.34 | ↓ -46% |
| Aetna | Medicaid | $97.34 | ↓ -46% |
| United Healthcare | Compass Exchange | $99.99 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $103.32 | ↓ -43% |
| Aetna | Neighborhood Network | $112.11 | ↓ -38% |
| Aetna | Home Depot Employer Group | $115.75 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $117.87 | ↓ -35% |
| Cigna | NBR ASO/FI | $118.17 | ↓ -35% |
| Aetna | NBR ASO/FI | $118.17 | ↓ -35% |
| United Healthcare | All Business | $118.17 | ↓ -35% |
| Cigna | New Business ASO | $118.17 | ↓ -35% |
| Aetna | EBR ASO | $121.20 | ↓ -33% |
| Cigna | EBR | $121.20 | ↓ -33% |
| Cigna | Commercial | $121.20 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $122.99 | ↓ -32% |
| Highmark Wholecare (prev Gateway) | Medicaid | $131.23 | ↓ -28% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $138.14 | ↓ -24% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $150.80 | ↓ -17% |
| UPMC Work Partners | Workers Comp | $152.54 | ↓ -16% |
| Aetna | EBR FI | $181.80 | ↑ +0% |
| InterGroup | PPO | $196.95 | ↑ +8% |
| Coventry/First Health | Commercial | $199.98 | ↑ +10% |
| Health Coalition Partners | PPO | $212.10 | ↑ +17% |
| Private Health Care Systems | PPO | $242.40 | ↑ +33% |
| Prime Net | Commercial | $248.46 | ↑ +37% |
| Humana | Commercial | $257.55 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $307.04 | ↑ +69% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $353.17 | ↑ +94% |
| Aetna | Medicare | $353.24 | ↑ +94% |
| Aetna of PA | Medicare | $360.10 | ↑ +98% |
| United Healthcare Community Plan for Families | Unison Kids | $360.10 | ↑ +98% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $360.10 | ↑ +98% |
| United Healthcare | Medicare | $366.96 | ↑ +102% |
| Highmark Wholecare (prev Gateway) | Medicare | $370.35 | ↑ +104% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $370.39 | ↑ +104% |
| Cigna | Medicare | $370.39 | ↑ +104% |
| AmeriHealth Caritas | Medicare | $370.39 | ↑ +104% |
| UPMC Health Plan | Commercial | $533.40 | ↑ +193% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $643.55 | ↑ +254% |
| UPMC Health Plan | CHIP | $1,032.47 | ↑ +468% |
| 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 Hamot | Erie | $295.20 | $48.29 – $427.47 |
| UPMC Northwest | Seneca | $272.40 | $97.34 – $360.10 |