Ihc/icc per specimen each additional single antibody stain at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$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 $201.48 with Multiplan — 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 | $46.14 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $56.22 | ↓ -66% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $56.22 | ↓ -66% |
| Highmark BCBS of PA | Managed Care | $61.80 | ↓ -63% |
| Aetna | CHIP/Medicaid | $66.44 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.80 | ↓ -54% |
| Aetna | Medicare | $76.02 | ↓ -54% |
| Aetna | Neighborhood Network | $78.84 | ↓ -53% |
| Geisinger | Medicaid/CHIP | $79.56 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $80.88 | ↓ -51% |
| Aetna | EBR FI | $85.41 | ↓ -49% |
| Aetna | Home Depot Employer Group | $85.85 | ↓ -48% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $87.10 | ↓ -48% |
| Aetna | EBR ASO | $87.60 | ↓ -47% |
| Cigna | New Business ASO | $87.60 | ↓ -47% |
| Aetna | NBR ASO/FI | $87.60 | ↓ -47% |
| Cigna | Commercial | $87.60 | ↓ -47% |
| UPMC Work Partners | Workers Comp | $87.64 | ↓ -47% |
| Highmark BCBS of PA | UPMC Emergent | $92.70 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $97.37 | ↓ -41% |
| UPMC Health Plan | Commercial | $99.51 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.50 | ↓ -34% |
| InterGroup | PPO | $109.50 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Indemnity | $130.41 | ↓ -22% |
| Coventry/First Health | Commercial | $153.30 | ↓ -8% |
| Preferred Healthcare System | PPO | $175.20 | ↑ +5% |
| UPMC Health Plan | CHIP | $181.94 | ↑ +9% |
| Private Health Care Systems | PPO | $186.15 | ↑ +12% |
| Humana | Commercial | $186.15 | ↑ +12% |
| Multiplan | PPO | $201.48 | ↑ +21% |
Visitor-reported prices
Comments
Ihc/icc per specimen each additional single antibody stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $268.80 | $28.76 – $99.58 |
| UPMC Passavant-McCandless | Pittsburgh | $166.20 | $29.03 – $101.91 |
| UPMC Presbyterian | Pittsburgh | $166.20 | $29.03 – $115.79 |
| UPMC St. Margaret | Pittsburgh | $424.20 | $29.03 – $87.64 |
| 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 |