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Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$844.20
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.
$1,407.00
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.
$236.62 with PA Health & Wellness vs $1,139.40 with Three Rivers Provider Network — 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 |
|---|---|---|---|
| PA Health & Wellness | PA Medicaid HMO | $236.62 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $236.62 | ↓ -72% |
| United Healthcare Community Plan for Families | PA Medicaid | $236.62 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $236.62 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $236.62 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $238.94 | ↓ -72% |
| UPMC Health Plan | Managed Medicare | $241.35 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicare | $243.36 | ↓ -71% |
| AmeriHealth Caritas | Medicare | $243.72 | ↓ -71% |
| Aetna | Medicare | $243.72 | ↓ -71% |
| United Healthcare | Medicare | $253.18 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $255.55 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $260.28 | ↓ -69% |
| UPMC Health Plan | CHIP | $260.28 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $343.34 | ↓ -59% |
| Multiplan | Worker's Compensation | $379.29 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $503.74 | ↓ -40% |
| Aetna | PEBTF Custom Network | $513.36 | ↓ -39% |
| UPMC Health Plan | Commercial | $551.98 | ↓ -35% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $593.25 | ↓ -30% |
| Aetna | Commercial | $603.88 | ↓ -28% |
| Coventry/First Health | Commercial | $634.27 | ↓ -25% |
| Wirerope Works | Commercial | $703.90 | ↓ -17% |
| Aetna | First Health | $835.56 | ↓ -1% |
| Geisinger | Commercial | $848.22 | ↑ +0% |
| Coventry/First Health | FH-Medical Rental | $852.02 | ↑ +1% |
| United Healthcare | Commercial | $865.94 | ↑ +3% |
| Cigna | Commercial | $867.21 | ↑ +3% |
| Multiplan | Auto | $987.48 | ↑ +17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $987.48 | ↑ +17% |
| America's Choice | PPO | $1,012.80 | ↑ +20% |
| InterGroup | PPO | $1,012.80 | ↑ +20% |
| Three Rivers Provider Network | All | $1,139.40 | ↑ +35% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $37,978.20 | $211.05 – $1,266.30 |
| UPMC Presbyterian | Pittsburgh | $31,680.60 | $31.70 – $260.28 |
| UPMC Wellsboro | Wellsboro | $37,978.20 | $236.62 – $1,266.30 |