Ihc/icc per specimen initial single antibody stain at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$449.40
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.
$749.00
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 $8,126.83 with Cigna — 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 | ↓ -92% |
| Aetna | CHIP/Medicaid | $75.55 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $75.55 | ↓ -83% |
| UPMC Health Plan | Commercial | $76.12 | ↓ -83% |
| United Healthcare Community Plan for Families | Unison Kids | $78.98 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $95.46 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $101.85 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $107.22 | ↓ -76% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $117.04 | ↓ -74% |
| UPMC Health Plan | CHIP | $126.35 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $128.59 | ↓ -71% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $133.57 | ↓ -70% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $133.57 | ↓ -70% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $133.57 | ↓ -70% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $133.57 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $133.57 | ↓ -70% |
| Aetna of PA | Medicare | $138.91 | ↓ -69% |
| United Healthcare | Unison Advantage Non Special Needs | $140.25 | ↓ -69% |
| Focus Healthcare | Workers Compensation | $142.04 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $144.26 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $144.26 | ↓ -68% |
| United Healthcare | Unison Advantage Special Needs | $146.93 | ↓ -67% |
| UPMC Health Plan | Partners/Select | $157.61 | ↓ -65% |
| Cigna | Commercial | $252.70 | ↓ -44% |
| Horizon Health Plan | Commercial | $252.70 | ↓ -44% |
| Highmark BCBS of PA | Managed Care - Social Mission | $268.80 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $268.80 | ↓ -40% |
| Multiplan | Auto/PPO/Worker's Compensation | $270.75 | ↓ -40% |
| InterGroup | Commercial | $288.80 | ↓ -36% |
| Health Coalition Partners | PPO | $288.80 | ↓ -36% |
| Highmark BCBS of PA | Commercial - Indemnity | $329.25 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $329.25 | ↓ -27% |
| Focus Healthcare | Disability/PPO/Auto | $342.95 | ↓ -24% |
| Cigna | Medicare | $8,126.83 | ↑ +1708% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
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 |