Ihc/icc per specimen initial single antibody stain at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$556.80
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.
?
What you pay up front if you don't use insurance.
$928.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$51.38 with United Healthcare Community Plan for Families vs $742.40 with InterGroup — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $51.38 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $75.55 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $75.55 | ↓ -86% |
| UPMC Health Plan | CHIP | $75.55 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $77.44 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $96.50 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $117.04 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $148.24 | ↓ -73% |
| Three Rivers Provider Network | All | $158.58 | ↓ -72% |
| Geisinger | CHIP | $163.37 | ↓ -71% |
| Multiplan | Worker's Compensation | $163.75 | ↓ -71% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $164.97 | ↓ -70% |
| UPMC Health Plan | Managed Medicare | $166.64 | ↓ -70% |
| Aetna | Medicare | $168.27 | ↓ -70% |
| AmeriHealth Caritas | Medicare | $168.27 | ↓ -70% |
| United Healthcare | Medicare | $174.81 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↓ -68% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↓ -68% |
| Coventry/First Health | Commercial | $350.78 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $369.25 | ↓ -34% |
| Aetna | PEBTF Custom Network | $376.30 | ↓ -32% |
| UPMC Health Plan | Commercial | $404.61 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $434.86 | ↓ -22% |
| Aetna | Commercial | $442.66 | ↓ -20% |
| Cigna | Commercial | $476.99 | ↓ -14% |
| United Healthcare | Commercial | $515.04 | ↓ -8% |
| Wirerope Works | Commercial | $515.97 | ↓ -7% |
| Aetna | First Health | $612.48 | ↑ +10% |
| Geisinger | Commercial | $621.76 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $624.54 | ↑ +12% |
| Multiplan | PPO (Includes PHCS as a Payer) | $723.84 | ↑ +30% |
| Multiplan | Auto | $723.84 | ↑ +30% |
| America's Choice | PPO | $742.40 | ↑ +33% |
| InterGroup | PPO | $742.40 | ↑ +33% |
| 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 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 |
| UPMC Community Osteopathic | Harrisburg | $337.20 | $27.00 – $180.36 |
| UPMC East | Monroeville | $303.00 | $28.44 – $404.00 |
| UPMC Hamot | Erie | $295.20 | $38.10 – $213.04 |
| UPMC Northwest | Seneca | $272.40 | $28.70 – $171.54 |