Ihc/icc per specimen initial single antibody stain at WellSpan Surgery & Rehabilitation Hospital
55 Monument Road, York PA 17403, PA · Wellspan · · NPI 1760787576
$253.60
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.
$317.00
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.
$50.17 with UPMC_Medicaid vs $826.43 with Highmark — 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_Medicaid | All_Plans | $50.17 | ↓ -80% |
| Amerihealth_Caritas_Medicaid | All_Plans | $68.68 | ↓ -73% |
| Geisinger_Medicaid | All_Plans | $85.85 | ↓ -66% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $85.85 | ↓ -66% |
| Health_Partners_Medicaid | All_Other_Plans | $85.85 | ↓ -66% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $85.85 | ↓ -66% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $165.89 | ↓ -35% |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $165.89 | ↓ -35% |
| Highmark_Medicare | All_Plans | $167.55 | ↓ -34% |
| Aetna_Medicare | All_Plans | $170.87 | ↓ -33% |
| Aetna_Advantra_Medicare | All_Plans | $170.87 | ↓ -33% |
| Geisinger_Gold_Medicare | All_Plans | $174.18 | ↓ -31% |
| Devoted_Medicare | All_Plans | $174.18 | ↓ -31% |
| United_Medicare | ISNP_DSNP_Plans | $174.18 | ↓ -31% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $174.93 | ↓ -31% |
| Amerihealth_Medicare | All_Plans | $175.01 | ↓ -31% |
| Blue_Cross | Capital_Cares_4_kids | $177.99 | ↓ -30% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $179.16 | ↓ -29% |
| PA_Health_&_Wellness_Medicare | All_Plans | $179.16 | ↓ -29% |
| Blue_Cross | Capital_Blue_Performance_PPO | $183.51 | ↓ -28% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $199.98 | ↓ -21% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $199.98 | ↓ -21% |
| Aetna_Better_Health_Kids | All_Plans | $233.51 | ↓ -8% |
| Highmark | Higmark_Healthy_Kids | $253.81 | ↑ +0% |
| Blue_Cross | All_Other_Plans | $254.27 | ↑ +0% |
| Cigna | All_Plans | $260.83 | ↑ +3% |
| Health_Partners_Medicaid | Kidz_Partners | $273.72 | ↑ +8% |
| First_Health_Network | All_Plans | $280.55 | ↑ +11% |
| Aetna | All_Plans | $280.55 | ↑ +11% |
| United_Medicaid | Community_Plan_For_Kids | $290.31 | ↑ +14% |
| WellSpan_Capital_Blue_Cross | All_Plans | $291.64 | ↑ +15% |
| UPMC | All_Plans | $294.81 | ↑ +16% |
| UPMC | UPMC_For_Kids | $294.81 | ↑ +16% |
| Geisinger | All_Plans | $296.87 | ↑ +17% |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $301.15 | ↑ +19% |
| PHC | All_Plans | $301.15 | ↑ +19% |
| United_Healthcare | All_Plans | $488.22 | ↑ +93% |
| Highmark | Performance_Blue | $649.19 | ↑ +156% |
| Highmark | Choice_Blue_PPO | $649.19 | ↑ +156% |
| Highmark | Blue_Cross_High_Performance_Network | $649.19 | ↑ +156% |
| Highmark | All_Other_Plans | $826.43 | ↑ +226% |
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 |