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Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$581.40
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.
$969.00
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.
$44.06 with Aetna vs $140.06 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 |
|---|---|---|---|
| Aetna | PEBTF Custom Network | $44.06 | ↓ -92% |
| Aetna | Commercial | $51.84 | ↓ -91% |
| Coventry/First Health | Commercial | $54.43 | ↓ -91% |
| Highmark BCBS of PA | Managed Care - Social Mission | $57.30 | ↓ -90% |
| UPMC Health Plan | Commercial | $62.78 | ↓ -89% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $67.48 | ↓ -88% |
| Cigna | Commercial | $74.02 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $79.20 | ↓ -86% |
| United Healthcare | Commercial | $79.92 | ↓ -86% |
| Wirerope Works | Commercial | $80.06 | ↓ -86% |
| Aetna | First Health | $95.04 | ↓ -84% |
| Geisinger | Commercial | $96.48 | ↓ -83% |
| Coventry/First Health | FH-Medical Rental | $96.91 | ↓ -83% |
| United Healthcare Community Plan for Families | PA Medicaid | $100.17 | ↓ -83% |
| Multiplan | Auto | $112.32 | ↓ -81% |
| Multiplan | PPO (Includes PHCS as a Payer) | $112.32 | ↓ -81% |
| America's Choice | PPO | $115.20 | ↓ -80% |
| InterGroup | PPO | $115.20 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $126.79 | ↓ -78% |
| Geisinger | CHIP | $128.29 | ↓ -78% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $129.55 | ↓ -78% |
| Three Rivers Provider Network | All | $129.60 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $130.86 | ↓ -77% |
| Aetna | Medicare | $132.14 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $132.14 | ↓ -77% |
| United Healthcare | Medicare | $137.27 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $138.54 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $138.55 | ↓ -76% |
| Multiplan | Worker's Compensation | $140.06 | ↓ -76% |
Visitor-reported prices
Comments
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $86.40 | $21.60 – $129.60 |
| UPMC Wellsboro | Wellsboro | $104.00 | $23.40 – $126.79 |