healthcosts.net
F-18 fluciclovine per mci at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$710.40
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.
$1,184.00
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.
$271.05 with Highmark BCBS of PA vs $1,065.60 with Three Rivers Provider Network — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $271.05 | ↓ -62% |
| UPMC Health Plan | Managed Medicare | $273.79 | ↓ -61% |
| Aetna | Medicare | $276.47 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $276.47 | ↓ -61% |
| United Healthcare | Medicare | $287.21 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicare | $289.87 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $289.89 | ↓ -59% |
| Highmark BCBS of PA | Managed Care - Social Mission | $471.11 | ↓ -34% |
| Aetna | PEBTF Custom Network | $480.11 | ↓ -32% |
| UPMC Health Plan | Commercial | $516.22 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $554.82 | ↓ -22% |
| Aetna | Commercial | $564.77 | ↓ -20% |
| Coventry/First Health | Commercial | $593.18 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $651.20 | ↓ -8% |
| Wirerope Works | Commercial | $658.30 | ↓ -7% |
| Aetna | First Health | $781.44 | ↑ +10% |
| Geisinger | Commercial | $793.28 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $796.83 | ↑ +12% |
| United Healthcare | Commercial | $809.86 | ↑ +14% |
| Cigna | Commercial | $811.04 | ↑ +14% |
| Multiplan | Auto | $923.52 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $923.52 | ↑ +30% |
| America's Choice | PPO | $947.20 | ↑ +33% |
| InterGroup | PPO | $947.20 | ↑ +33% |
| Three Rivers Provider Network | All | $1,065.60 | ↑ +50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
F-18 fluciclovine per mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $1,579.20 | $274.27 – $2,237.20 |
| UPMC Somerset | Somerset | $1,588.80 | $265.74 – $1,986.00 |