healthcosts.net
Infectious agent antigen immunoassay direct optical observation sars-cov-2 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$26.40
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.
$44.00
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.
$12.66 with UPMC Health Plan vs $45.17 with Multiplan — 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 | $12.66 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $12.66 | ↓ -52% |
| UPMC Health Plan | CHIP | $12.66 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.98 | ↓ -51% |
| Aetna | PEBTF Custom Network | $13.46 | ↓ -49% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.73 | ↓ -44% |
| Aetna | Commercial | $15.84 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.17 | ↓ -39% |
| Coventry/First Health | Commercial | $16.63 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $17.51 | ↓ -34% |
| UPMC Health Plan | Commercial | $19.18 | ↓ -27% |
| PA Health & Wellness | PA Medicaid HMO | $19.62 | ↓ -26% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $20.62 | ↓ -22% |
| Cigna | Commercial | $22.62 | ↓ -14% |
| United Healthcare | Commercial | $24.42 | ↓ -8% |
| Wirerope Works | Commercial | $24.46 | ↓ -7% |
| Aetna | First Health | $29.04 | ↑ +10% |
| Geisinger | Commercial | $29.48 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $29.61 | ↑ +12% |
| Multiplan | Auto | $34.32 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $34.32 | ↑ +30% |
| America's Choice | PPO | $35.20 | ↑ +33% |
| InterGroup | PPO | $35.20 | ↑ +33% |
| Three Rivers Provider Network | All | $39.60 | ↑ +50% |
| UPMC Work Partners | Workers Comp | $40.89 | ↑ +55% |
| Geisinger | CHIP | $41.38 | ↑ +57% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $41.79 | ↑ +58% |
| UPMC Health Plan | Managed Medicare | $42.21 | ↑ +60% |
| AmeriHealth Caritas | Medicare | $42.62 | ↑ +61% |
| Aetna | Medicare | $42.62 | ↑ +61% |
| United Healthcare | Medicare | $44.28 | ↑ +68% |
| Highmark Wholecare (prev Gateway) | Medicare | $44.69 | ↑ +69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $44.69 | ↑ +69% |
| Multiplan | Worker's Compensation | $45.17 | ↑ +71% |