Ihc/icc per specimen initial single antibody stain at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$138.60
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.
$231.00
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.
$30.09 with UPMC Health Plan vs $189.52 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 |
|---|---|---|---|
| UPMC Health Plan | Commercial | $30.09 | ↓ -78% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $39.58 | ↓ -71% |
| Highmark BCBS of PA | Managed Care - Social Mission | $62.91 | ↓ -55% |
| Aetna | Neighborhood Network | $74.16 | ↓ -46% |
| UPMC Health Plan | Managed Medicaid | $75.55 | ↓ -45% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $75.55 | ↓ -45% |
| Aetna | EBR FI | $80.34 | ↓ -42% |
| Aetna | Home Depot Employer Group | $80.75 | ↓ -42% |
| Aetna | EBR ASO | $82.40 | ↓ -41% |
| Aetna | NBR ASO/FI | $82.40 | ↓ -41% |
| Cigna | Commercial | $82.40 | ↓ -41% |
| Cigna | New Business ASO | $82.40 | ↓ -41% |
| Highmark BCBS of PA | Managed Care | $84.25 | ↓ -39% |
| Aetna | CHIP/Medicaid | $89.28 | ↓ -36% |
| Highmark Wholecare (prev Gateway) | Medicaid | $101.85 | ↓ -27% |
| InterGroup | PPO | $103.00 | ↓ -26% |
| UPMC Health Plan | CHIP | $103.38 | ↓ -25% |
| Geisinger | Medicaid/CHIP | $106.91 | ↓ -23% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $108.68 | ↓ -22% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $117.04 | ↓ -16% |
| Highmark BCBS of PA | UPMC Emergent | $126.38 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $132.75 | ↓ -4% |
| Coventry/First Health | Commercial | $144.20 | ↑ +4% |
| UPMC Work Partners | Workers Comp | $148.24 | ↑ +7% |
| UPMC Health Plan | Managed Medicare | $152.90 | ↑ +10% |
| Preferred Healthcare System | PPO | $164.80 | ↑ +19% |
| UPMC Health Plan | Partners/Select | $167.58 | ↑ +21% |
| Aetna of PA | Medicare | $171.54 | ↑ +24% |
| Humana | Commercial | $175.10 | ↑ +26% |
| Private Health Care Systems | PPO | $175.10 | ↑ +26% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↑ +27% |
| AmeriHealth Caritas | Medicare | $176.44 | ↑ +27% |
| United Healthcare | Medicare | $176.44 | ↑ +27% |
| Highmark BCBS of PA | Commercial - Indemnity | $177.78 | ↑ +28% |
| Aetna | Medicare | $179.71 | ↑ +30% |
| Multiplan | PPO | $189.52 | ↑ +37% |
| 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 Mercy | Pittsburgh | $268.80 | $28.52 – $179.71 |
| UPMC Passavant-McCandless | Pittsburgh | $384.00 | $28.69 – $179.71 |
| UPMC Presbyterian | Pittsburgh | $838.80 | $30.27 – $182.92 |
| UPMC St. Margaret | Pittsburgh | $424.20 | $28.76 – $179.71 |
| 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 |