healthcosts.net
Blood Count (CBC) Test at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$95.40
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.
$159.00
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.
$6.60 with UPMC Health Plan vs $127.20 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 Health Plan | Managed Medicaid | $6.60 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $6.60 | ↓ -93% |
| UPMC Health Plan | CHIP | $6.60 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.76 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $7.68 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $7.68 | ↓ -92% |
| Geisinger | CHIP | $7.77 | ↓ -92% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $7.85 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $7.93 | ↓ -92% |
| AmeriHealth Caritas | Medicare | $8.00 | ↓ -92% |
| Aetna | Medicare | $8.00 | ↓ -92% |
| Three Rivers Provider Network | All | $8.22 | ↓ -91% |
| United Healthcare | Medicare | $8.31 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.39 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.39 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.43 | ↓ -91% |
| Multiplan | Worker's Compensation | $8.48 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $10.23 | ↓ -89% |
| Aetna | PEBTF Custom Network | $48.65 | ↓ -49% |
| Aetna | Commercial | $57.24 | ↓ -40% |
| Coventry/First Health | Commercial | $60.10 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $63.27 | ↓ -34% |
| UPMC Health Plan | Commercial | $69.32 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $74.51 | ↓ -22% |
| Cigna | Commercial | $81.73 | ↓ -14% |
| United Healthcare | Commercial | $88.25 | ↓ -7% |
| Wirerope Works | Commercial | $88.40 | ↓ -7% |
| Aetna | First Health | $104.94 | ↑ +10% |
| Geisinger | Commercial | $106.53 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $107.01 | ↑ +12% |
| Multiplan | Auto | $124.02 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $124.02 | ↑ +30% |
| America's Choice | PPO | $127.20 | ↑ +33% |
| InterGroup | PPO | $127.20 | ↑ +33% |
Visitor-reported prices
Comments
Blood Count (CBC) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $235.20 | $6.60 – $333.20 |
| UPMC Altoona | Altoona | $89.40 | $6.00 – $119.20 |
| UPMC Bedford | Everett | $49.80 | $2.80 – $74.70 |
| UPMC Cole | Coudersport | $42.60 | $5.05 – $56.80 |
| UPMC East | Monroeville | $115.80 | $6.00 – $154.40 |
| UPMC Hamot | Erie | $214.20 | $6.00 – $249.90 |
| UPMC Hanover | Hanover | $40.20 | $3.52 – $58.29 |
| UPMC Horizon-Greenville | Greenville | $48.00 | $6.00 – $68.00 |