Ihc/icc per specimen each additional single antibody stain at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$166.20
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.
$277.00
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.
$29.03 with Highmark BCBS of PA vs $221.60 with Private Health Care Systems — 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 | $29.03 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $50.46 | ↓ -70% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.11 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $56.22 | ↓ -66% |
| United Healthcare Community Plan for Families | Unison Kids | $58.78 | ↓ -65% |
| Highmark BCBS of PA | Managed Care | $67.58 | ↓ -59% |
| Aetna | Medicare | $69.25 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $71.04 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.80 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.79 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $84.02 | ↓ -49% |
| UPMC Health Plan | Commercial | $84.83 | ↓ -49% |
| PA Health & Wellness | PA Medicaid HMO | $87.10 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $87.64 | ↓ -47% |
| United Healthcare | Compass Exchange | $91.41 | ↓ -45% |
| Aetna | Neighborhood Network | $97.23 | ↓ -41% |
| Aetna | EBR FI | $105.26 | ↓ -37% |
| Aetna | Home Depot Employer Group | $105.81 | ↓ -36% |
| Cigna | NBR ASO/FI | $108.03 | ↓ -35% |
| United Healthcare | All Business | $108.03 | ↓ -35% |
| Aetna | NBR ASO/FI | $108.03 | ↓ -35% |
| Cigna | New Business ASO | $108.03 | ↓ -35% |
| Cigna | Commercial | $110.80 | ↓ -33% |
| Cigna | EBR | $110.80 | ↓ -33% |
| Aetna | EBR ASO | $110.80 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity | $112.53 | ↓ -32% |
| Highmark BCBS of PA | UPMC Emergent | $135.17 | ↓ -19% |
| InterGroup | PPO | $138.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $138.50 | ↓ -17% |
| UPMC Health Plan | CHIP | $181.94 | ↑ +9% |
| Coventry/First Health | Commercial | $193.90 | ↑ +17% |
| Private Health Care Systems | PPO | $221.60 | ↑ +33% |
Visitor-reported prices
Comments
Ihc/icc per specimen each additional single antibody stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $141.60 | $28.76 – $188.80 |
| UPMC Bedford | Everett | $141.00 | $51.11 – $211.50 |
| UPMC Carlisle | Carlisle | $157.20 | $35.89 – $222.70 |
| UPMC Cole | Coudersport | $193.20 | $53.00 – $257.60 |
| UPMC Community Osteopathic | Harrisburg | $157.20 | $27.00 – $181.94 |
| UPMC Hamot | Erie | $295.20 | $28.76 – $190.62 |
| UPMC Northwest | Seneca | $272.40 | $56.22 – $87.64 |
| UPMC Hanover | Hanover | $157.20 | $44.58 – $167.96 |