Ihc/icc per specimen initial single antibody stain at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$303.00
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.
$505.00
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.
$28.44 with UPMC Health Plan vs $404.00 with Private Health Care Systems — 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $28.44 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $39.58 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $68.68 | ↓ -77% |
| Highmark BCBS of PA | Managed Care - Social Mission | $68.80 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $75.55 | ↓ -75% |
| United Healthcare Community Plan for Families | Unison Kids | $78.98 | ↓ -74% |
| Highmark BCBS of PA | Managed Care | $92.14 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $95.46 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $101.85 | ↓ -66% |
| UPMC Health Plan | CHIP | $103.38 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $107.22 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $114.54 | ↓ -62% |
| PA Health & Wellness | PA Medicaid HMO | $117.04 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $148.24 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity | $153.41 | ↓ -49% |
| UPMC Health Plan | Managed Medicare | $163.81 | ↓ -46% |
| United Healthcare | Compass Exchange | $166.65 | ↓ -45% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $166.90 | ↓ -45% |
| United Healthcare | Unison Advantage Non Special Needs | $171.54 | ↓ -43% |
| Aetna of PA | Medicare | $171.54 | ↓ -43% |
| United Healthcare | Medicare | $174.81 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↓ -42% |
| AmeriHealth Caritas | Medicare | $176.44 | ↓ -42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↓ -42% |
| Cigna | Medicare | $176.44 | ↓ -42% |
| Aetna | Neighborhood Network | $177.25 | ↓ -42% |
| United Healthcare | Unison Advantage Special Needs | $179.71 | ↓ -41% |
| Aetna | Medicare | $179.71 | ↓ -41% |
| Highmark BCBS of PA | UPMC Emergent | $184.27 | ↓ -39% |
| Aetna | EBR FI | $191.90 | ↓ -37% |
| Aetna | Home Depot Employer Group | $192.91 | ↓ -36% |
| United Healthcare | All Business | $196.95 | ↓ -35% |
| Aetna | NBR ASO/FI | $196.95 | ↓ -35% |
| Cigna | NBR ASO/FI | $196.95 | ↓ -35% |
| Cigna | New Business ASO | $196.95 | ↓ -35% |
| Cigna | EBR | $202.00 | ↓ -33% |
| Aetna | EBR ASO | $202.00 | ↓ -33% |
| Cigna | Commercial | $202.00 | ↓ -33% |
| InterGroup | PPO | $252.50 | ↓ -17% |
| Coventry/First Health | Commercial | $353.50 | ↑ +17% |
| Private Health Care Systems | PPO | $404.00 | ↑ +33% |
| 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 Hamot | Erie | $295.20 | $38.10 – $213.04 |
| UPMC Northwest | Seneca | $272.40 | $28.70 – $171.54 |
| UPMC Hanover | Hanover | $337.20 | $52.58 – $261.92 |