healthcosts.net
#bac vag cand-c. albicans naa at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$183.00
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.
$305.00
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.
$34.68 with UPMC Work Partners vs $244.00 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 | $34.68 | ↓ -81% |
| Geisinger | CHIP | $35.09 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $35.43 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $35.79 | ↓ -80% |
| AmeriHealth Caritas | Medicare | $36.14 | ↓ -80% |
| Aetna | Medicare | $36.14 | ↓ -80% |
| Three Rivers Provider Network | All | $37.09 | ↓ -80% |
| United Healthcare | Medicare | $37.55 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $37.89 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $37.90 | ↓ -79% |
| Multiplan | Worker's Compensation | $38.30 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $43.75 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $43.75 | ↓ -76% |
| UPMC Health Plan | CHIP | $43.75 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.84 | ↓ -75% |
| United Healthcare Community Plan for Families | PA Medicaid | $50.91 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $55.88 | ↓ -69% |
| PA Health & Wellness | PA Medicaid HMO | $67.78 | ↓ -63% |
| Aetna | PEBTF Custom Network | $93.33 | ↓ -49% |
| Aetna | Commercial | $109.80 | ↓ -40% |
| Coventry/First Health | Commercial | $115.29 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $121.36 | ↓ -34% |
| UPMC Health Plan | Commercial | $132.98 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $142.92 | ↓ -22% |
| Cigna | Commercial | $156.77 | ↓ -14% |
| United Healthcare | Commercial | $169.28 | ↓ -7% |
| Wirerope Works | Commercial | $169.58 | ↓ -7% |
| Aetna | First Health | $201.30 | ↑ +10% |
| Geisinger | Commercial | $204.35 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $205.26 | ↑ +12% |
| Multiplan | Auto | $237.90 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $237.90 | ↑ +30% |
| America's Choice | PPO | $244.00 | ↑ +33% |
| InterGroup | PPO | $244.00 | ↑ +33% |
Visitor-reported prices
Comments
#bac vag cand-c. albicans naa at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $409.20 | $29.25 – $613.80 |
| UPMC Muncy | Muncy | $183.00 | $34.68 – $244.00 |
| UPMC Northwest | Seneca | $474.00 | $31.82 – $671.50 |
| UPMC Passavant-McCandless | Pittsburgh | $316.20 | $32.61 – $447.95 |
| UPMC Presbyterian | Pittsburgh | $393.00 | $34.68 – $556.75 |
| UPMC Somerset | Somerset | $195.60 | $34.68 – $87.75 |
| UPMC St. Margaret | Pittsburgh | $306.00 | $30.30 – $433.50 |
| UPMC Wellsboro | Wellsboro | $220.80 | $34.68 – $248.40 |