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Acetazolamide 500 mg solution for injection at UPMC Williamsport

700 High Street, Williamsport, PA · UPMC · · NPI 164974648

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$256.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$321.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$19.84 with AmeriHealth Caritas vs $288.90 with Three Rivers Provider Network — 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 →

Payer
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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
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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
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $19.84 ↓ -92%
Geisinger Medicaid/CHIP $19.84 ↓ -92%
Highmark Wholecare (prev Gateway) Medicaid $19.84 ↓ -92%
PA Health & Wellness PA Medicaid HMO $19.84 ↓ -92%
Highmark Wholecare (prev Gateway) Medicare $20.41 ↓ -92%
UPMC Health Plan CHIP $21.83 ↓ -91%
UPMC Health Plan Managed Medicaid $21.83 ↓ -91%
Aetna Medicare $86.67 ↓ -66%
UPMC Work Partners Workers Comp $87.06 ↓ -66%
Multiplan Worker's Compensation $96.17 ↓ -63%
Highmark BCBS of PA Managed Care - Social Mission $127.73 ↓ -50%
Aetna PEBTF Custom Network $130.17 ↓ -49%
UPMC Health Plan Commercial $139.96 ↓ -45%
Highmark BCBS of PA Bluecare HMO/FPLIC PPO/Traditional Products $150.42 ↓ -41%
Aetna Commercial $153.12 ↓ -40%
Coventry/First Health Commercial $160.82 ↓ -37%
Wirerope Works Commercial $178.48 ↓ -30%
Aetna First Health $211.86 ↓ -18%
Geisinger Commercial $215.07 ↓ -16%
Coventry/First Health FH-Medical Rental $216.03 ↓ -16%
United Healthcare Commercial $219.56 ↓ -15%
Cigna Commercial $219.88 ↓ -14%
Multiplan Auto $250.38 ↓ -3%
Multiplan PPO (Includes PHCS as a Payer) $250.38 ↓ -3%
America's Choice PPO $256.80 ↑ +0%
InterGroup PPO $256.80 ↑ +0%
Three Rivers Provider Network All $288.90 ↑ +13%

Visitor-reported prices

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Acetazolamide 500 mg solution for injection at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $133.60 $12.53 – $150.30
UPMC Muncy Muncy $256.80 $19.84 – $288.90
UPMC Northwest Seneca $195.20 $12.53 – $207.40
UPMC Passavant-McCandless Pittsburgh $1,307.40 $12.53 – $230.35
UPMC Presbyterian Pittsburgh $1,307.40 $12.53 – $1,852.15
UPMC Somerset Somerset $25.80 $10.44 – $50.08
UPMC St. Margaret Pittsburgh $748.00 $12.53 – $794.75
UPMC Wellsboro Wellsboro $256.80 $19.84 – $288.90

All Pennsylvania hospitals for this procedure →