healthcosts.net
Immunofluorescence per specimen initial single antibody stain at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$84.60
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.
$141.00
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.
$19.58 with United Healthcare Community Plan for Families vs $176.44 with PA Health & Wellness — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $19.58 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $28.05 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $28.05 | ↓ -67% |
| UPMC Health Plan | CHIP | $28.05 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.75 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicaid | $35.83 | ↓ -58% |
| PA Health & Wellness | PA Medicaid HMO | $43.46 | ↓ -49% |
| Coventry/First Health | Commercial | $53.30 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $56.10 | ↓ -34% |
| Aetna | PEBTF Custom Network | $57.18 | ↓ -32% |
| UPMC Health Plan | Commercial | $61.48 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $66.07 | ↓ -22% |
| Aetna | Commercial | $67.26 | ↓ -20% |
| Cigna | Commercial | $72.47 | ↓ -14% |
| United Healthcare | Commercial | $78.25 | ↓ -8% |
| Wirerope Works | Commercial | $78.40 | ↓ -7% |
| Aetna | First Health | $93.06 | ↑ +10% |
| Geisinger | Commercial | $94.47 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $94.89 | ↑ +12% |
| Multiplan | Auto | $109.98 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $109.98 | ↑ +30% |
| America's Choice | PPO | $112.80 | ↑ +33% |
| InterGroup | PPO | $112.80 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $114.17 | ↑ +35% |
| Three Rivers Provider Network | All | $122.14 | ↑ +44% |
| Multiplan | Worker's Compensation | $126.12 | ↑ +49% |
| Geisinger | CHIP | $163.37 | ↑ +93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $164.97 | ↑ +95% |
| UPMC Health Plan | Managed Medicare | $166.64 | ↑ +97% |
| AmeriHealth Caritas | Medicare | $168.27 | ↑ +99% |
| Aetna | Medicare | $168.27 | ↑ +99% |
| United Healthcare | Medicare | $174.81 | ↑ +107% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↑ +109% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↑ +109% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Immunofluorescence per specimen initial single antibody stain at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $316.20 | $17.44 – $474.30 |
| UPMC Muncy | Muncy | $84.60 | $19.58 – $122.14 |
| UPMC Northwest | Seneca | $108.00 | $17.55 – $171.54 |
| UPMC Passavant-McCandless | Pittsburgh | $96.00 | $17.55 – $179.71 |
| UPMC Presbyterian | Pittsburgh | $316.20 | $18.36 – $447.95 |
| UPMC Somerset | Somerset | $664.80 | $17.59 – $138.00 |
| UPMC St. Margaret | Pittsburgh | $168.00 | $17.59 – $238.00 |
| UPMC Wellsboro | Wellsboro | $102.40 | $19.58 – $115.20 |