healthcosts.net
Cell marker study at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$137.40
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.
$229.00
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.
$8.79 with United Healthcare Community Plan for Families vs $200.72 with Multiplan — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $8.79 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $45.44 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $45.44 | ↓ -67% |
| UPMC Health Plan | CHIP | $45.44 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $46.58 | ↓ -66% |
| Geisinger | CHIP | $50.94 | ↓ -63% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $51.44 | ↓ -63% |
| UPMC Health Plan | Managed Medicare | $51.96 | ↓ -62% |
| AmeriHealth Caritas | Medicare | $52.47 | ↓ -62% |
| Aetna | Medicare | $52.47 | ↓ -62% |
| United Healthcare | Medicare | $54.51 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicare | $55.01 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $55.02 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicaid | $58.04 | ↓ -58% |
| PA Health & Wellness | PA Medicaid HMO | $70.40 | ↓ -49% |
| Coventry/First Health | Commercial | $86.56 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $91.12 | ↓ -34% |
| Aetna | PEBTF Custom Network | $92.86 | ↓ -32% |
| UPMC Health Plan | Commercial | $99.84 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $107.31 | ↓ -22% |
| Aetna | Commercial | $109.23 | ↓ -21% |
| Cigna | Commercial | $117.71 | ↓ -14% |
| United Healthcare | Commercial | $127.09 | ↓ -8% |
| Wirerope Works | Commercial | $127.32 | ↓ -7% |
| Aetna | First Health | $151.14 | ↑ +10% |
| Geisinger | Commercial | $153.43 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $154.12 | ↑ +12% |
| Multiplan | Auto | $178.62 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $178.62 | ↑ +30% |
| UPMC Work Partners | Workers Comp | $181.70 | ↑ +32% |
| America's Choice | PPO | $183.20 | ↑ +33% |
| InterGroup | PPO | $183.20 | ↑ +33% |
| Three Rivers Provider Network | All | $194.38 | ↑ +41% |
| Multiplan | Worker's Compensation | $200.72 | ↑ +46% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cell marker study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $212.40 | $40.74 – $318.60 |
| UPMC Northwest | Seneca | $126.60 | $41.00 – $179.35 |
| UPMC Passavant-McCandless | Pittsburgh | $181.80 | $40.98 – $257.55 |
| UPMC Presbyterian | Pittsburgh | $231.60 | $8.24 – $328.10 |
| UPMC Somerset | Somerset | $116.40 | $7.90 – $187.13 |
| UPMC St. Margaret | Pittsburgh | $282.60 | $41.08 – $400.35 |
| UPMC Wellsboro | Wellsboro | $166.40 | $8.79 – $187.20 |