healthcosts.net
Ghs urine, porphyrins quant at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$518.40
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.
$864.00
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.
$8.25 with UPMC Health Plan vs $691.20 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $8.25 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $8.25 | ↓ -98% |
| UPMC Health Plan | CHIP | $8.25 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.46 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.60 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.54 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $12.78 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $14.53 | ↓ -97% |
| Geisinger | CHIP | $14.71 | ↓ -97% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $14.85 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $15.00 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $15.15 | ↓ -97% |
| Aetna | Medicare | $15.15 | ↓ -97% |
| Three Rivers Provider Network | All | $15.55 | ↓ -97% |
| United Healthcare | Medicare | $15.74 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.89 | ↓ -97% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $15.89 | ↓ -97% |
| Multiplan | Worker's Compensation | $16.05 | ↓ -97% |
| Aetna | PEBTF Custom Network | $264.38 | ↓ -49% |
| Aetna | Commercial | $311.04 | ↓ -40% |
| Coventry/First Health | Commercial | $326.59 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $343.79 | ↓ -34% |
| UPMC Health Plan | Commercial | $376.70 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $404.87 | ↓ -22% |
| Cigna | Commercial | $444.10 | ↓ -14% |
| United Healthcare | Commercial | $479.52 | ↓ -8% |
| Wirerope Works | Commercial | $480.38 | ↓ -7% |
| Aetna | First Health | $570.24 | ↑ +10% |
| Geisinger | Commercial | $578.88 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $581.47 | ↑ +12% |
| Multiplan | Auto | $673.92 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $673.92 | ↑ +30% |
| America's Choice | PPO | $691.20 | ↑ +33% |
| InterGroup | PPO | $691.20 | ↑ +33% |
Visitor-reported prices
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Ghs urine, porphyrins quant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $249.60 | $8.25 – $116.45 |
| UPMC Mercy | Pittsburgh | $87.60 | $8.25 – $131.40 |
| UPMC Muncy | Muncy | $518.40 | $8.25 – $691.20 |
| UPMC Northwest | Seneca | $80.40 | $8.25 – $113.90 |
| UPMC Presbyterian | Pittsburgh | $961.20 | $7.50 – $1,361.70 |
| UPMC Somerset | Somerset | $75.00 | $8.25 – $93.75 |
| UPMC St. Margaret | Pittsburgh | $288.60 | $8.25 – $408.85 |