healthcosts.net
Apl(pml-rara) quant - sendout at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$741.00
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.
?
What you pay up front if you don't use insurance.
$1,235.00
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.
$204.89 with UPMC Work Partners vs $560.00 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $204.89 | ↓ -72% |
| Geisinger | CHIP | $207.31 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $209.34 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $211.46 | ↓ -71% |
| AmeriHealth Caritas | Medicare | $213.53 | ↓ -71% |
| Aetna | Medicare | $213.53 | ↓ -71% |
| Three Rivers Provider Network | All | $219.18 | ↓ -70% |
| United Healthcare | Medicare | $221.82 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $223.87 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $223.89 | ↓ -70% |
| Multiplan | Worker's Compensation | $226.33 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $248.89 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $248.89 | ↓ -66% |
| UPMC Health Plan | CHIP | $248.89 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $255.11 | ↓ -66% |
| Coventry/First Health | Commercial | $264.60 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $278.53 | ↓ -62% |
| Aetna | PEBTF Custom Network | $283.85 | ↓ -62% |
| United Healthcare Community Plan for Families | PA Medicaid | $289.61 | ↓ -61% |
| UPMC Health Plan | Commercial | $305.20 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $317.90 | ↓ -57% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $328.02 | ↓ -56% |
| Aetna | Commercial | $333.90 | ↓ -55% |
| Cigna | Commercial | $359.80 | ↓ -51% |
| PA Health & Wellness | PA Medicaid HMO | $385.59 | ↓ -48% |
| United Healthcare | Commercial | $388.50 | ↓ -48% |
| Wirerope Works | Commercial | $389.20 | ↓ -47% |
| Aetna | First Health | $462.00 | ↓ -38% |
| Geisinger | Commercial | $469.00 | ↓ -37% |
| Coventry/First Health | FH-Medical Rental | $471.10 | ↓ -36% |
| Multiplan | Auto | $546.00 | ↓ -26% |
| Multiplan | PPO (Includes PHCS as a Payer) | $546.00 | ↓ -26% |
| America's Choice | PPO | $560.00 | ↓ -24% |
| InterGroup | PPO | $560.00 | ↓ -24% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,812.60 | $192.65 – $964.75 |
| UPMC Northwest | Seneca | $2,235.60 | $188.01 – $3,167.10 |
| UPMC Presbyterian | Pittsburgh | $765.00 | $204.89 – $964.75 |
| UPMC Wellsboro | Wellsboro | $503.20 | $113.22 – $566.10 |