healthcosts.net
Ihc/icc per specimen each additional single antibody stain at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$272.40
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.
$454.00
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.
$56.22 with UPMC Health Plan vs $385.90 with Humana — 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 | Managed Medicaid | $56.22 | ↓ -79% |
| United Healthcare Community Plan for Families | Unison Kids | $58.78 | ↓ -78% |
| Aetna | Medicaid | $61.33 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $74.63 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.80 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.79 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $87.10 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $87.64 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $91.95 | ↓ -66% |
| Aetna | Medicare | $113.50 | ↓ -58% |
| UPMC Health Plan | Commercial | $147.22 | ↓ -46% |
| Aetna | EBR ASO | $181.60 | ↓ -33% |
| Cigna | Commercial | $181.60 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $227.00 | ↓ -17% |
| Aetna | EBR FI | $263.32 | ↓ -3% |
| Aetna | Neighborhood Network | $272.40 | ↑ +0% |
| Aetna | Home Depot Employer Group | $280.12 | ↑ +3% |
| Aetna | NBR ASO/FI | $286.02 | ↑ +5% |
| Cigna | New Business ASO | $286.02 | ↑ +5% |
| InterGroup | PPO | $295.10 | ↑ +8% |
| Coventry/First Health | Commercial | $317.80 | ↑ +17% |
| Health Coalition Partners | PPO | $326.88 | ↑ +20% |
| Private Health Care Systems | PPO | $363.20 | ↑ +33% |
| Humana | Commercial | $385.90 | ↑ +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 Muncy | Muncy | $293.40 | $43.56 – $391.20 |
| UPMC Passavant-McCandless | Pittsburgh | $166.20 | $29.03 – $186.15 |
| UPMC Presbyterian | Pittsburgh | $166.20 | $29.03 – $235.45 |
| UPMC Somerset | Somerset | $157.20 | $28.46 – $101.25 |
| UPMC St. Margaret | Pittsburgh | $424.20 | $29.03 – $600.95 |
| UPMC Wellsboro | Wellsboro | $355.20 | $43.56 – $399.60 |
| UPMC Williamsport | Williamsport | $293.40 | $43.56 – $391.20 |