healthcosts.net
Inj andexxa, 10 mg at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$13,400.40
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.
$22,334.00
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.
$131.38 with United Healthcare Community Plan for Families vs $669.60 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $131.38 | ↓ -99% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $132.67 | ↓ -99% |
| UPMC Health Plan | Managed Medicare | $134.01 | ↓ -99% |
| Aetna | Medicare | $135.32 | ↓ -99% |
| AmeriHealth Caritas | Medicare | $135.32 | ↓ -99% |
| United Healthcare | Medicare | $140.58 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $141.88 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $141.89 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $201.77 | ↓ -98% |
| Multiplan | Worker's Compensation | $222.90 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $296.04 | ↓ -98% |
| Aetna | PEBTF Custom Network | $301.69 | ↓ -98% |
| UPMC Health Plan | Commercial | $324.38 | ↓ -98% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $348.64 | ↓ -97% |
| Aetna | Commercial | $354.89 | ↓ -97% |
| Coventry/First Health | Commercial | $372.74 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $409.20 | ↓ -97% |
| Wirerope Works | Commercial | $413.66 | ↓ -97% |
| Aetna | First Health | $491.04 | ↓ -96% |
| Geisinger | Commercial | $498.48 | ↓ -96% |
| Coventry/First Health | FH-Medical Rental | $500.71 | ↓ -96% |
| United Healthcare | Commercial | $508.90 | ↓ -96% |
| Cigna | Commercial | $509.64 | ↓ -96% |
| Multiplan | Auto | $580.32 | ↓ -96% |
| Multiplan | PPO (Includes PHCS as a Payer) | $580.32 | ↓ -96% |
| America's Choice | PPO | $595.20 | ↓ -96% |
| InterGroup | PPO | $595.20 | ↓ -96% |
| Three Rivers Provider Network | All | $669.60 | ↓ -95% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Inj andexxa, 10 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $13,381.20 | $109.52 – $709.20 |
| UPMC Northwest | Seneca | $751.80 | $119.15 – $669.80 |
| UPMC Passavant-McCandless | Pittsburgh | $14,184.60 | $122.09 – $709.75 |
| UPMC Presbyterian | Pittsburgh | $20,052.60 | $139.26 – $946.05 |
| UPMC St. Margaret | Pittsburgh | $13,381.20 | $113.43 – $669.80 |