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C-kit mutation liquid tumor - sendout at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,941.40
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.
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What you pay up front if you don't use insurance.
$6,569.00
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.
$289.97 with UPMC Health Plan vs $5,255.20 with InterGroup — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $289.97 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $289.97 | ↓ -93% |
| UPMC Health Plan | CHIP | $289.97 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $297.22 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $325.66 | ↓ -92% |
| Geisinger | CHIP | $329.51 | ↓ -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 | $332.74 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $336.10 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $337.42 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $339.40 | ↓ -91% |
| Aetna | Medicare | $339.40 | ↓ -91% |
| Three Rivers Provider Network | All | $348.39 | ↓ -91% |
| United Healthcare | Medicare | $352.58 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $355.84 | ↓ -91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $355.87 | ↓ -91% |
| Multiplan | Worker's Compensation | $359.75 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $370.37 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $449.24 | ↓ -89% |
| Coventry/First Health | Commercial | $2,483.08 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,613.81 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,663.73 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,864.08 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,078.23 | ↓ -22% |
| Aetna | Commercial | $3,133.41 | ↓ -21% |
| Cigna | Commercial | $3,376.47 | ↓ -14% |
| United Healthcare | Commercial | $3,645.80 | ↓ -7% |
| Wirerope Works | Commercial | $3,652.36 | ↓ -7% |
| Aetna | First Health | $4,335.54 | ↑ +10% |
| Geisinger | Commercial | $4,401.23 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $4,420.94 | ↑ +12% |
| Multiplan | Auto | $5,123.82 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,123.82 | ↑ +30% |
| America's Choice | PPO | $5,255.20 | ↑ +33% |
| InterGroup | PPO | $5,255.20 | ↑ +33% |
Visitor-reported prices
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C-kit mutation liquid tumor - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,055.40 | $232.46 – $5,745.15 |
| UPMC Northwest | Seneca | $4,054.80 | $289.97 – $5,744.30 |
| UPMC Presbyterian | Pittsburgh | $4,054.80 | $232.46 – $5,744.30 |