healthcosts.net
Culture bact stool aero addl path ea at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$86.40
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.
$144.00
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.
$2.87 with UPMC Health Plan vs $109.60 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 | $2.87 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $2.87 | ↓ -97% |
| UPMC Health Plan | CHIP | $2.87 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2.94 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $3.34 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.67 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $4.45 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $9.33 | ↓ -89% |
| Geisinger | CHIP | $9.44 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $9.53 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $9.63 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $9.72 | ↓ -89% |
| Aetna | Medicare | $9.72 | ↓ -89% |
| Three Rivers Provider Network | All | $9.98 | ↓ -88% |
| United Healthcare | Medicare | $10.10 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $10.19 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $10.20 | ↓ -88% |
| Multiplan | Worker's Compensation | $10.31 | ↓ -88% |
| Aetna | PEBTF Custom Network | $41.92 | ↓ -51% |
| Aetna | Commercial | $49.32 | ↓ -43% |
| Coventry/First Health | Commercial | $51.79 | ↓ -40% |
| Highmark BCBS of PA | Managed Care - Social Mission | $54.51 | ↓ -37% |
| UPMC Health Plan | Commercial | $59.73 | ↓ -31% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $64.20 | ↓ -26% |
| Cigna | Commercial | $70.42 | ↓ -18% |
| United Healthcare | Commercial | $76.03 | ↓ -12% |
| Wirerope Works | Commercial | $76.17 | ↓ -12% |
| Aetna | First Health | $90.42 | ↑ +5% |
| Geisinger | Commercial | $91.79 | ↑ +6% |
| Coventry/First Health | FH-Medical Rental | $92.20 | ↑ +7% |
| Multiplan | Auto | $106.86 | ↑ +24% |
| Multiplan | PPO (Includes PHCS as a Payer) | $106.86 | ↑ +24% |
| America's Choice | PPO | $109.60 | ↑ +27% |
| InterGroup | PPO | $109.60 | ↑ +27% |
Visitor-reported prices
Comments
Culture bact stool aero addl path ea at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $67.80 | $2.87 – $96.05 |
| UPMC Mercy | Pittsburgh | $24.00 | $2.87 – $36.00 |
| UPMC Muncy | Muncy | $86.40 | $2.87 – $115.20 |
| UPMC Northwest | Seneca | $40.80 | $2.87 – $57.80 |
| UPMC Presbyterian | Pittsburgh | $38.40 | $2.61 – $54.40 |
| UPMC Somerset | Somerset | $52.80 | $2.87 – $66.00 |
| UPMC St. Margaret | Pittsburgh | $76.80 | $2.87 – $108.80 |
| UPMC Wellsboro | Wellsboro | $104.00 | $2.61 – $117.00 |