healthcosts.net
Culture screening strep group a at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$75.00
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.
$125.00
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.
$5.72 with UPMC Health Plan vs $86.40 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 | $5.72 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $5.72 | ↓ -92% |
| UPMC Health Plan | CHIP | $5.72 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.86 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $6.55 | ↓ -91% |
| Geisinger | CHIP | $6.63 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $6.66 | ↓ -91% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $6.69 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $6.76 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $6.83 | ↓ -91% |
| Aetna | Medicare | $6.83 | ↓ -91% |
| Three Rivers Provider Network | All | $7.01 | ↓ -91% |
| United Healthcare | Medicare | $7.09 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.16 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7.16 | ↓ -90% |
| Multiplan | Worker's Compensation | $7.24 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.31 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $8.86 | ↓ -88% |
| Aetna | PEBTF Custom Network | $33.05 | ↓ -56% |
| Aetna | Commercial | $38.88 | ↓ -48% |
| Coventry/First Health | Commercial | $40.82 | ↓ -46% |
| Highmark BCBS of PA | Managed Care - Social Mission | $42.97 | ↓ -43% |
| UPMC Health Plan | Commercial | $47.09 | ↓ -37% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $50.61 | ↓ -33% |
| Cigna | Commercial | $55.51 | ↓ -26% |
| United Healthcare | Commercial | $59.94 | ↓ -20% |
| Wirerope Works | Commercial | $60.05 | ↓ -20% |
| Aetna | First Health | $71.28 | ↓ -5% |
| Geisinger | Commercial | $72.36 | ↓ -4% |
| Coventry/First Health | FH-Medical Rental | $72.68 | ↓ -3% |
| Multiplan | Auto | $84.24 | ↑ +12% |
| Multiplan | PPO (Includes PHCS as a Payer) | $84.24 | ↑ +12% |
| America's Choice | PPO | $86.40 | ↑ +15% |
| InterGroup | PPO | $86.40 | ↑ +15% |
Visitor-reported prices
Comments
Culture screening strep group a at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $126.60 | $5.72 – $126.65 |
| UPMC Mercy | Pittsburgh | $118.20 | $5.53 – $125.10 |
| UPMC Muncy | Muncy | $279.00 | $5.72 – $372.00 |
| UPMC Northwest | Seneca | $60.60 | $5.72 – $60.35 |
| UPMC Presbyterian | Pittsburgh | $85.80 | $5.20 – $51.85 |
| UPMC Somerset | Somerset | $37.80 | $5.20 – $47.25 |
| UPMC St. Margaret | Pittsburgh | $117.00 | $5.72 – $74.80 |
| UPMC Wellsboro | Wellsboro | $337.60 | $5.20 – $101.70 |