healthcosts.net
Genome sequence analysis at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$4,397.40
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.
$7,329.00
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.
$2,770.36 with Coventry/First Health vs $5,863.20 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 |
|---|---|---|---|
| Coventry/First Health | Commercial | $2,770.36 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,916.21 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,971.91 | ↓ -32% |
| UPMC Health Plan | Commercial | $3,195.44 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,434.37 | ↓ -22% |
| Aetna | Commercial | $3,495.93 | ↓ -21% |
| Cigna | Commercial | $3,767.11 | ↓ -14% |
| United Healthcare Community Plan for Families | PA Medicaid | $3,928.36 | ↓ -11% |
| PA Health & Wellness | PA Medicaid HMO | $4,030.95 | ↓ -8% |
| United Healthcare | Commercial | $4,067.59 | ↓ -8% |
| Wirerope Works | Commercial | $4,074.92 | ↓ -7% |
| Aetna | First Health | $4,837.14 | ↑ +10% |
| Geisinger | Commercial | $4,910.43 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $4,932.42 | ↑ +12% |
| UPMC Work Partners | Workers Comp | $4,972.44 | ↑ +13% |
| Geisinger | CHIP | $5,031.20 | ↑ +14% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5,080.51 | ↑ +16% |
| UPMC Health Plan | Managed Medicare | $5,131.82 | ↑ +17% |
| Aetna | Medicare | $5,182.14 | ↑ +18% |
| AmeriHealth Caritas | Medicare | $5,182.14 | ↑ +18% |
| Three Rivers Provider Network | All | $5,319.36 | ↑ +21% |
| United Healthcare | Medicare | $5,383.38 | ↑ +22% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,433.19 | ↑ +24% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,433.70 | ↑ +24% |
| Multiplan | Worker's Compensation | $5,492.81 | ↑ +25% |
| Multiplan | Auto | $5,716.62 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,716.62 | ↑ +30% |
| America's Choice | PPO | $5,863.20 | ↑ +33% |
| InterGroup | PPO | $5,863.20 | ↑ +33% |
Visitor-reported prices
Comments
Genome sequence analysis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,439.40 | $2,515.66 – $6,289.15 |
| UPMC Mercy | Pittsburgh | $4,439.40 | $2,064.32 – $6,659.10 |
| UPMC Northwest | Seneca | $4,439.40 | $2,959.60 – $6,289.15 |
| UPMC Presbyterian | Pittsburgh | $7,352.40 | $1,331.82 – $6,289.15 |
| UPMC St. Margaret | Pittsburgh | $4,439.40 | $1,864.55 – $6,289.15 |
| UPMC Wellsboro | Wellsboro | $4,188.00 | $1,256.40 – $6,282.00 |