healthcosts.net
Inj mogamulizumab-kpkc, 1 mg at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$558.40
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.
$806.00
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.
$189.30 with UPMC Work Partners vs $628.20 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 | $189.30 | ↓ -66% |
| Multiplan | Worker's Compensation | $209.12 | ↓ -63% |
| PA Health & Wellness | PA Medicaid HMO | $248.50 | ↓ -55% |
| Geisinger | Medicaid/CHIP | $248.50 | ↓ -55% |
| United Healthcare Community Plan for Families | PA Medicaid | $248.50 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicaid | $248.50 | ↓ -55% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $248.50 | ↓ -55% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $250.94 | ↓ -55% |
| UPMC Health Plan | Managed Medicare | $253.47 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicare | $255.58 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $255.96 | ↓ -54% |
| Aetna | Medicare | $255.96 | ↓ -54% |
| United Healthcare | Medicare | $265.89 | ↓ -52% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $268.38 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $273.35 | ↓ -51% |
| UPMC Health Plan | CHIP | $273.35 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $277.73 | ↓ -50% |
| Aetna | PEBTF Custom Network | $283.04 | ↓ -49% |
| UPMC Health Plan | Commercial | $304.33 | ↓ -45% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $327.08 | ↓ -41% |
| Aetna | Commercial | $332.95 | ↓ -40% |
| Coventry/First Health | Commercial | $349.70 | ↓ -37% |
| Wirerope Works | Commercial | $388.09 | ↓ -30% |
| Aetna | First Health | $460.68 | ↓ -18% |
| Geisinger | Commercial | $467.66 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $469.75 | ↓ -16% |
| United Healthcare | Commercial | $477.43 | ↓ -15% |
| Cigna | Commercial | $478.13 | ↓ -14% |
| Multiplan | Auto | $544.44 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $544.44 | ↓ -3% |
| America's Choice | PPO | $558.40 | ↑ +0% |
| InterGroup | PPO | $558.40 | ↑ +0% |
| Three Rivers Provider Network | All | $628.20 | ↑ +13% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj mogamulizumab-kpkc, 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $691.20 | $120.93 – $777.60 |
| UPMC Muncy | Muncy | $558.40 | $104.70 – $628.20 |
| UPMC Northwest | Seneca | $691.20 | $156.90 – $734.40 |
| UPMC Passavant-McCandless | Pittsburgh | $691.20 | $122.09 – $724.20 |
| UPMC Somerset | Somerset | $540.60 | $119.71 – $675.75 |
| UPMC St. Margaret | Pittsburgh | $691.20 | $122.09 – $734.40 |
| UPMC Wellsboro | Wellsboro | $558.40 | $125.64 – $628.20 |
| UPMC Western Psychiatric | Pittsburgh | $691.20 | $119.63 – $979.20 |