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Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$115.80
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.
$193.00
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.
$11.84 with UPMC Work Partners vs $154.40 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 Work Partners | Workers Comp | $11.84 | ↓ -90% |
| Three Rivers Provider Network | All | $12.67 | ↓ -89% |
| Multiplan | Worker's Compensation | $13.08 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $13.40 | ↓ -88% |
| UPMC Health Plan | CHIP | $13.40 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $13.40 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $13.73 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $15.59 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.11 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $20.76 | ↓ -82% |
| Aetna | Medicare | $52.11 | ↓ -55% |
| Aetna | PEBTF Custom Network | $59.06 | ↓ -49% |
| Aetna | Commercial | $69.48 | ↓ -40% |
| Coventry/First Health | Commercial | $72.95 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $76.79 | ↓ -34% |
| UPMC Health Plan | Commercial | $84.15 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $90.44 | ↓ -22% |
| Cigna | Commercial | $99.20 | ↓ -14% |
| United Healthcare | Commercial | $107.11 | ↓ -8% |
| Wirerope Works | Commercial | $107.31 | ↓ -7% |
| Aetna | First Health | $127.38 | ↑ +10% |
| Geisinger | Commercial | $129.31 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $129.89 | ↑ +12% |
| Multiplan | Auto | $150.54 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $150.54 | ↑ +30% |
| America's Choice | PPO | $154.40 | ↑ +33% |
| InterGroup | PPO | $154.40 | ↑ +33% |
Visitor-reported prices
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Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $74.40 | $9.99 – $111.60 |
| UPMC Muncy | Muncy | $115.80 | $11.84 – $154.40 |
| UPMC Northwest | Seneca | $99.00 | $10.86 – $140.25 |
| UPMC Passavant-McCandless | Pittsburgh | $108.00 | $11.13 – $153.00 |
| UPMC Presbyterian | Pittsburgh | $1,159.20 | $11.84 – $363.80 |
| UPMC Somerset | Somerset | $66.60 | $11.84 – $83.25 |
| UPMC St. Margaret | Pittsburgh | $116.40 | $10.34 – $164.90 |
| UPMC Wellsboro | Wellsboro | $140.00 | $11.84 – $157.50 |