Ihc/icc per specimen each multiplex antibody stain at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$158.40
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.
$264.00
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.
$48.75 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 | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $48.75 | ↓ -69% |
| Highmark BCBS of PA | Managed Care - Social Mission | $84.66 | ↓ -47% |
| Aetna | Neighborhood Network | $91.61 | ↓ -42% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $97.34 | ↓ -39% |
| UPMC Health Plan | Managed Medicaid | $97.34 | ↓ -39% |
| Aetna | Home Depot Employer Group | $99.53 | ↓ -37% |
| Aetna | EBR FI | $100.32 | ↓ -37% |
| Aetna | NBR ASO/FI | $101.64 | ↓ -36% |
| Cigna | New Business ASO | $101.64 | ↓ -36% |
| Aetna | EBR ASO | $105.60 | ↓ -33% |
| Cigna | Commercial | $105.60 | ↓ -33% |
| Highmark BCBS of PA | Managed Care | $113.38 | ↓ -28% |
| Highmark Wholecare (prev Gateway) | Medicaid | $131.23 | ↓ -17% |
| InterGroup | PPO | $132.00 | ↓ -17% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $138.14 | ↓ -13% |
| PA Health & Wellness | PA Medicaid HMO | $150.80 | ↓ -5% |
| UPMC Work Partners | Workers Comp | $152.54 | ↓ -4% |
| Cigna Behavioral Health | Commercial | $158.40 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $183.80 | ↑ +16% |
| Coventry/First Health | Commercial | $184.80 | ↑ +17% |
| SelectCare | Commercial | $211.20 | ↑ +33% |
| Private Health Care Systems | PPO | $211.20 | ↑ +33% |
| Humana | Commercial | $224.40 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Indemnity | $246.15 | ↑ +55% |
| UPMC Health Plan | Managed Medicare | $317.88 | ↑ +101% |
| Geisinger | Medicaid/CHIP | $342.95 | ↑ +117% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $351.80 | ↑ +122% |
| Aetna of PA | Medicare | $360.10 | ↑ +127% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $370.39 | ↑ +134% |
| AmeriHealth Caritas | Medicare | $370.39 | ↑ +134% |
| Highmark Wholecare (prev Gateway) | Medicare | $370.39 | ↑ +134% |
| Aetna | Medicare | $377.25 | ↑ +138% |
| UPMC Health Plan | Commercial | $516.22 | ↑ +226% |
| UPMC Health Plan | CHIP | $1,032.47 | ↑ +552% |
| Tricare | East Region | not published by hospital | — |
| 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 |