Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$320.40
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.
$534.00
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.
$83.22 with Highmark BCBS of PA vs $645.96 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 | $83.22 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $83.35 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $91.69 | ↓ -71% |
| United Healthcare Community Plan for Families | Unison Kids | $95.85 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $115.85 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $123.61 | ↓ -61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $130.12 | ↓ -59% |
| PA Health & Wellness | PA Medicaid HMO | $142.05 | ↓ -56% |
| Highmark BCBS of PA | Managed Care - Social Mission | $144.67 | ↓ -55% |
| UPMC Health Plan | Managed Medicare | $163.81 | ↓ -49% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $166.90 | ↓ -48% |
| United Healthcare | Unison Advantage Non Special Needs | $171.54 | ↓ -46% |
| Aetna of PA | Medicare | $171.54 | ↓ -46% |
| United Healthcare | Medicare | $174.81 | ↓ -45% |
| United Healthcare | Compass Exchange | $176.22 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↓ -45% |
| AmeriHealth Caritas | Medicare | $176.44 | ↓ -45% |
| Cigna | Medicare | $176.44 | ↓ -45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↓ -45% |
| UPMC Health Plan | Commercial | $177.70 | ↓ -45% |
| Aetna | Medicare | $179.71 | ↓ -44% |
| United Healthcare | Unison Advantage Special Needs | $179.71 | ↓ -44% |
| Aetna | Neighborhood Network | $187.43 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $190.58 | ↓ -41% |
| Highmark BCBS of PA | Managed Care | $193.75 | ↓ -40% |
| Aetna | EBR FI | $202.92 | ↓ -37% |
| Aetna | Home Depot Employer Group | $203.99 | ↓ -36% |
| United Healthcare | All Business | $208.26 | ↓ -35% |
| Aetna | NBR ASO/FI | $208.26 | ↓ -35% |
| Cigna | NBR ASO/FI | $208.26 | ↓ -35% |
| Cigna | New Business ASO | $208.26 | ↓ -35% |
| Cigna | Commercial | $213.60 | ↓ -33% |
| Aetna | EBR ASO | $213.60 | ↓ -33% |
| Cigna | EBR | $213.60 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $240.87 | ↓ -25% |
| InterGroup | PPO | $267.00 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity | $322.60 | ↑ +1% |
| Coventry/First Health | Commercial | $373.80 | ↑ +17% |
| Highmark BCBS of PA | UPMC Emergent | $387.50 | ↑ +21% |
| Private Health Care Systems | PPO | $427.20 | ↑ +33% |
| UPMC Health Plan | CHIP | $645.96 | ↑ +102% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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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 Hamot | Erie | $1,262.40 | $38.10 – $213.04 |
| UPMC Northwest | Seneca | $459.60 | $91.69 – $190.58 |
| UPMC Hanover | Hanover | $337.20 | $46.48 – $261.92 |