Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$297.00
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.
?
What you pay up front if you don't use insurance.
$495.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$83.35 with Health Partners Plans (Jefferson Health Plan) vs $645.96 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $83.35 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $91.69 | ↓ -69% |
| Aetna | Medicaid | $91.69 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $115.85 | ↓ -61% |
| Highmark Wholecare (prev Gateway) | Medicaid | $123.61 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $130.12 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $133.30 | ↓ -55% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $142.05 | ↓ -52% |
| UPMC Health Plan | Managed Medicare | $146.27 | ↓ -51% |
| United Healthcare | Compass Exchange | $163.35 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $164.22 | ↓ -45% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $168.24 | ↓ -43% |
| Aetna | Medicare | $168.27 | ↓ -43% |
| Anthem Blue Cross Blue Shield | Traditional | $168.79 | ↓ -43% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $171.54 | ↓ -42% |
| Aetna of PA | Medicare | $171.54 | ↓ -42% |
| United Healthcare Community Plan for Families | Unison Kids | $171.54 | ↓ -42% |
| United Healthcare | Medicare | $174.81 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↓ -41% |
| Cigna | Medicare | $176.44 | ↓ -41% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↓ -41% |
| AmeriHealth Caritas | Medicare | $176.44 | ↓ -41% |
| UPMC Health Plan | Commercial | $179.92 | ↓ -39% |
| Aetna | Neighborhood Network | $183.15 | ↓ -38% |
| Aetna | Home Depot Employer Group | $189.09 | ↓ -36% |
| UPMC Work Partners | Workers Comp | $190.58 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $192.56 | ↓ -35% |
| Aetna | NBR ASO/FI | $193.05 | ↓ -35% |
| Cigna | NBR ASO/FI | $193.05 | ↓ -35% |
| Cigna | New Business ASO | $193.05 | ↓ -35% |
| United Healthcare | All Business | $193.05 | ↓ -35% |
| Cigna | Commercial | $198.00 | ↓ -33% |
| Aetna | EBR ASO | $198.00 | ↓ -33% |
| Cigna | EBR | $198.00 | ↓ -33% |
| Aetna | EBR FI | $297.00 | ↑ +0% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $306.56 | ↑ +3% |
| InterGroup | PPO | $321.75 | ↑ +8% |
| Coventry/First Health | Commercial | $326.70 | ↑ +10% |
| Health Coalition Partners | PPO | $346.50 | ↑ +17% |
| Private Health Care Systems | PPO | $396.00 | ↑ +33% |
| Prime Net | Commercial | $405.90 | ↑ +37% |
| Humana | Commercial | $420.75 | ↑ +42% |
| UPMC Health Plan | CHIP | $645.96 | ↑ +117% |
| 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 Hamot | Erie | $1,262.40 | $38.10 – $213.04 |
| UPMC Northwest | Seneca | $459.60 | $91.69 – $190.58 |