healthcosts.net
Ihc/icc per specimen each additional single antibody stain at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$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 $235.45 with InterGroup — 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 | Medicare Advantage | $29.03 | ↓ -83% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $40.84 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $48.25 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.11 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $56.22 | ↓ -66% |
| Highmark BCBS of PA | Managed Care | $64.62 | ↓ -61% |
| Aetna | CHIP/Medicaid | $66.44 | ↓ -60% |
| Aetna | Medicare | $69.25 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.80 | ↓ -54% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $76.27 | ↓ -54% |
| Geisinger | Medicaid/CHIP | $79.56 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $80.88 | ↓ -51% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $87.10 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $99.58 | ↓ -40% |
| UPMC Health Plan | Commercial | $100.23 | ↓ -40% |
| Highmark BCBS of PA | Commercial - Indemnity | $102.14 | ↓ -39% |
| Multiplan | Worker's Compensation | $115.79 | ↓ -30% |
| Highmark BCBS of PA | UPMC Emergent | $129.23 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $138.50 | ↓ -17% |
| Preferred Healthcare System | PPO | $180.05 | ↑ +8% |
| Coventry/First Health | Commercial | $193.90 | ↑ +17% |
| Fidelis | Medicare | $207.75 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $207.75 | ↑ +25% |
| Health Coalition Partners | Intergroup | $221.60 | ↑ +33% |
| Multiplan | PPO | $221.60 | ↑ +33% |
| Private Health Care Systems | PPO | $221.60 | ↑ +33% |
| SelectCare | Commercial | $221.60 | ↑ +33% |
| Health Payors Organization | Commercial | $235.45 | ↑ +42% |
| Humana | Commercial | $235.45 | ↑ +42% |
| InterGroup | Approved National Affiliated PPO Business | $235.45 | ↑ +42% |
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 – $403.20 |
| UPMC Passavant-McCandless | Pittsburgh | $166.20 | $29.03 – $186.15 |
| UPMC St. Margaret | Pittsburgh | $424.20 | $29.03 – $600.95 |
| UPMC Muncy | Muncy | $293.40 | $43.56 – $391.20 |
| UPMC Northwest | Seneca | $272.40 | $56.22 – $385.90 |
| UPMC Somerset | Somerset | $157.20 | $28.46 – $101.25 |
| UPMC Wellsboro | Wellsboro | $355.20 | $43.56 – $399.60 |
| UPMC Williamsport | Williamsport | $293.40 | $43.56 – $391.20 |