healthcosts.net
Gamunex-c/gammaked at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$338.40
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.
$423.00
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.
$48.96 with PA Health & Wellness vs $345.60 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 |
|---|---|---|---|
| PA Health & Wellness | PA Medicaid HMO | $48.96 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $48.96 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $48.96 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $48.96 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $48.96 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $49.44 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $49.94 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicare | $50.36 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $50.43 | ↓ -85% |
| Aetna | Medicare | $50.43 | ↓ -85% |
| United Healthcare | Medicare | $52.39 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $52.88 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $53.86 | ↓ -84% |
| UPMC Health Plan | CHIP | $53.86 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $104.14 | ↓ -69% |
| Multiplan | Worker's Compensation | $115.05 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $152.79 | ↓ -55% |
| Aetna | PEBTF Custom Network | $155.71 | ↓ -54% |
| UPMC Health Plan | Commercial | $167.42 | ↓ -51% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $179.94 | ↓ -47% |
| Aetna | Commercial | $183.17 | ↓ -46% |
| Coventry/First Health | Commercial | $192.38 | ↓ -43% |
| Wirerope Works | Commercial | $213.50 | ↓ -37% |
| Aetna | First Health | $253.44 | ↓ -25% |
| Geisinger | Commercial | $257.28 | ↓ -24% |
| Coventry/First Health | FH-Medical Rental | $258.43 | ↓ -24% |
| United Healthcare | Commercial | $262.66 | ↓ -22% |
| Cigna | Commercial | $263.04 | ↓ -22% |
| Multiplan | Auto | $299.52 | ↓ -11% |
| Multiplan | PPO (Includes PHCS as a Payer) | $299.52 | ↓ -11% |
| America's Choice | PPO | $307.20 | ↓ -9% |
| InterGroup | PPO | $307.20 | ↓ -9% |
| Three Rivers Provider Network | All | $345.60 | ↑ +2% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $345.60 | $30.92 – $386.10 |
| UPMC Northwest | Seneca | $345.60 | $30.92 – $364.65 |
| UPMC Presbyterian | Pittsburgh | $260.40 | $30.92 – $364.65 |
| UPMC St. Margaret | Pittsburgh | $450.40 | $30.92 – $478.55 |
| UPMC Western Psychiatric | Pittsburgh | $259.20 | $48.96 – $364.65 |