healthcosts.net
Ihc/icc per specimen each multiplex antibody stain at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$273.00
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.
$455.00
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.
$73.15 with United Healthcare Community Plan for Families vs $370.39 with PA Health & Wellness — 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 | $73.15 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $97.34 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $97.34 | ↓ -64% |
| UPMC Health Plan | CHIP | $97.34 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $99.77 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicaid | $124.33 | ↓ -54% |
| PA Health & Wellness | PA Medicaid HMO | $150.80 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $152.54 | ↓ -44% |
| Three Rivers Provider Network | All | $163.18 | ↓ -40% |
| Multiplan | Worker's Compensation | $168.50 | ↓ -38% |
| Coventry/First Health | Commercial | $171.99 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $181.04 | ↓ -34% |
| Aetna | PEBTF Custom Network | $184.50 | ↓ -32% |
| UPMC Health Plan | Commercial | $198.38 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $213.21 | ↓ -22% |
| Aetna | Commercial | $217.03 | ↓ -21% |
| Cigna | Commercial | $233.87 | ↓ -14% |
| United Healthcare | Commercial | $252.53 | ↓ -7% |
| Wirerope Works | Commercial | $252.98 | ↓ -7% |
| Aetna | First Health | $300.30 | ↑ +10% |
| Geisinger | Commercial | $304.85 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $306.21 | ↑ +12% |
| Geisinger | CHIP | $342.95 | ↑ +26% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $346.31 | ↑ +27% |
| UPMC Health Plan | Managed Medicare | $349.81 | ↑ +28% |
| AmeriHealth Caritas | Medicare | $353.24 | ↑ +29% |
| Aetna | Medicare | $353.24 | ↑ +29% |
| Multiplan | Auto | $354.90 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $354.90 | ↑ +30% |
| America's Choice | PPO | $364.00 | ↑ +33% |
| InterGroup | PPO | $364.00 | ↑ +33% |
| United Healthcare | Medicare | $366.96 | ↑ +34% |
| Highmark Wholecare (prev Gateway) | Medicare | $370.35 | ↑ +36% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $370.39 | ↑ +36% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ihc/icc per specimen each multiplex antibody stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $268.80 | $48.29 – $403.20 |
| UPMC Muncy | Muncy | $84.60 | $21.15 – $152.54 |
| UPMC Northwest | Seneca | $272.40 | $97.34 – $385.90 |
| UPMC Passavant-McCandless | Pittsburgh | $384.00 | $48.75 – $544.00 |
| UPMC Presbyterian | Pittsburgh | $838.80 | $48.75 – $1,188.30 |
| UPMC Somerset | Somerset | $664.80 | $17.10 – $152.54 |
| UPMC St. Margaret | Pittsburgh | $424.20 | $48.75 – $600.95 |
| UPMC Wellsboro | Wellsboro | $329.60 | $73.15 – $370.80 |