Ihc/icc per specimen initial single antibody stain at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$337.20
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.
$562.00
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.
$31.95 with Highmark BCBS of PA vs $579.10 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $31.95 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $52.58 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $68.68 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $87.22 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $89.28 | ↓ -74% |
| Prime Net | Managed Medicare | $92.73 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $93.54 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $100.04 | ↓ -70% |
| UPMC Health Plan | CHIP | $103.38 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $112.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $112.40 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $160.77 | ↓ -52% |
| Aetna | Medicare | $171.39 | ↓ -49% |
| Cigna | Medicare | $172.54 | ↓ -49% |
| Geisinger | Medicare | $172.54 | ↓ -49% |
| United Healthcare | Medicare | $175.82 | ↓ -48% |
| Cigna | Commercial | $182.96 | ↓ -46% |
| Prime Net | ACO/Legacy Commercial | $230.42 | ↓ -32% |
| Aetna | ACO | $232.11 | ↓ -31% |
| Capital Blue Cross | CHIP | $261.70 | ↓ -22% |
| Keystone Health Plan | Commercial | $261.70 | ↓ -22% |
| Capital Blue Cross | Commercial | $261.70 | ↓ -22% |
| Keystone Autism Services | ACAP | $262.91 | ↓ -22% |
| Prime Net | GateKeeper/NonGateKeeper | $268.07 | ↓ -21% |
| Aetna | Commercial | $269.76 | ↓ -20% |
| Geisinger | Commercial | $368.00 | ↑ +9% |
| Wellspan Population Health | Commercial | $393.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $393.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $418.69 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $477.70 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $544.29 | ↑ +61% |
| Highmark BCBS of PA | Commercial | $579.10 | ↑ +72% |
| Tricare | East Region | 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 |