Inj, adalimumab, 1 mg at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$256.00
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.
$320.00
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.
$86.78 with UPMC Work Partners vs $288.00 with Three Rivers Provider Network — 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 | $86.78 | ↓ -66% |
| United Healthcare Community Plan for Families | PA Medicaid | $91.73 | ↓ -64% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $92.63 | ↓ -64% |
| UPMC Health Plan | Managed Medicare | $93.56 | ↓ -63% |
| AmeriHealth Caritas | Medicare | $94.48 | ↓ -63% |
| Aetna | Medicare | $94.48 | ↓ -63% |
| Multiplan | Worker's Compensation | $95.87 | ↓ -63% |
| United Healthcare | Medicare | $98.15 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $99.06 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $99.07 | ↓ -61% |
| Highmark BCBS of PA | Managed Care - Social Mission | $127.33 | ↓ -50% |
| Aetna | PEBTF Custom Network | $129.76 | ↓ -49% |
| UPMC Health Plan | Commercial | $139.52 | ↓ -46% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $149.95 | ↓ -41% |
| Aetna | Commercial | $152.64 | ↓ -40% |
| Coventry/First Health | Commercial | $160.32 | ↓ -37% |
| PA Health & Wellness | PA Medicaid HMO | $176.00 | ↓ -31% |
| Wirerope Works | Commercial | $177.92 | ↓ -31% |
| Aetna | First Health | $211.20 | ↓ -18% |
| Geisinger | Commercial | $214.40 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $215.36 | ↓ -16% |
| United Healthcare | Commercial | $218.88 | ↓ -15% |
| Cigna | Commercial | $219.20 | ↓ -14% |
| Multiplan | Auto | $249.60 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $249.60 | ↓ -3% |
| InterGroup | PPO | $256.00 | ↑ +0% |
| America's Choice | PPO | $256.00 | ↑ +0% |
| Three Rivers Provider Network | All | $288.00 | ↑ +13% |
Visitor-reported prices
Comments
Inj, adalimumab, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $59.26 – $192.62 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $73.55 – $192.62 |