Immunofluorescence per specimen each additional single antibody stain at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$195.60
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.
$326.00
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.
$13.83 with United Healthcare Community Plan for Families vs $459.98 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $13.83 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $21.60 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.55 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $25.20 | ↓ -87% |
| Geisinger | Medicaid | $27.30 | ↓ -86% |
| Highmark BCBS of PA | Medicare Advantage | $28.08 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $91.87 | ↓ -53% |
| United Healthcare | Commercial | $113.77 | ↓ -42% |
| Geisinger | Commercial | $128.38 | ↓ -34% |
| Aetna of PA | TPA/Carrier | $130.40 | ↓ -33% |
| Multiplan | PPO (Includes PHCS as a Payer) | $163.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $163.00 | ↓ -17% |
| Galaxy Health Plan | Commercial | $211.90 | ↑ +8% |
| Humana | Commercial | $244.50 | ↑ +25% |
| UPMC Health Plan | Commercial | $317.30 | ↑ +62% |
| UPMC Health Plan | CHIP | $459.98 | ↑ +135% |
Visitor-reported prices
Comments
Immunofluorescence per specimen each additional single antibody stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $903.60 | $19.64 – $1,204.80 |
| UPMC Carlisle | Carlisle | $195.60 | $15.76 – $649.15 |
| UPMC Community Osteopathic | Harrisburg | $195.60 | $15.76 – $459.98 |
| UPMC East | Monroeville | $75.60 | $19.64 – $100.80 |
| UPMC Hamot | Erie | $173.40 | $19.64 – $224.30 |
| UPMC Northwest | Seneca | $108.00 | $21.60 – $91.87 |
| UPMC Hanover | Hanover | $195.60 | $15.76 – $649.15 |
| UPMC Horizon-Greenville | Greenville | $118.20 | $19.64 – $91.87 |