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Levothyroxine 100 mcg intravenous powder for solution at UPMC Williamsport

700 High Street, Williamsport, PA · UPMC · · NPI 164974648

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$24.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$41.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6.87 with AmeriHealth Caritas vs $27.00 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 →

Payer
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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
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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
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $6.87 ↓ -72%
Geisinger Medicaid/CHIP $6.87 ↓ -72%
Highmark Wholecare (prev Gateway) Medicaid $6.87 ↓ -72%
PA Health & Wellness PA Medicaid HMO $6.87 ↓ -72%
Highmark Wholecare (prev Gateway) Medicare $7.07 ↓ -71%
UPMC Health Plan CHIP $7.56 ↓ -69%
UPMC Health Plan Managed Medicaid $7.56 ↓ -69%
Aetna Medicare $8.10 ↓ -67%
UPMC Work Partners Workers Comp $8.14 ↓ -67%
Multiplan Worker's Compensation $8.99 ↓ -63%
Highmark BCBS of PA Managed Care - Social Mission $11.94 ↓ -51%
Aetna PEBTF Custom Network $12.16 ↓ -51%
UPMC Health Plan Commercial $13.08 ↓ -47%
Highmark BCBS of PA Bluecare HMO/FPLIC PPO/Traditional Products $14.06 ↓ -43%
Aetna Commercial $14.31 ↓ -42%
Coventry/First Health Commercial $15.03 ↓ -39%
Wirerope Works Commercial $16.68 ↓ -32%
Aetna First Health $19.80 ↓ -20%
Geisinger Commercial $20.10 ↓ -18%
Coventry/First Health FH-Medical Rental $20.19 ↓ -18%
United Healthcare Commercial $20.52 ↓ -17%
Cigna Commercial $20.55 ↓ -16%
Multiplan Auto $23.40 ↓ -5%
Multiplan PPO (Includes PHCS as a Payer) $23.40 ↓ -5%
America's Choice PPO $24.00 ↓ -2%
InterGroup PPO $24.00 ↓ -2%
Three Rivers Provider Network All $27.00 ↑ +10%

Visitor-reported prices

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Levothyroxine 100 mcg intravenous powder for solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $21.00 $4.24 – $31.50
UPMC Northwest Seneca $19.80 $4.34 – $28.05
UPMC Passavant-McCandless Pittsburgh $19.80 $4.34 – $28.05
UPMC Presbyterian Pittsburgh $24.00 $4.28 – $29.75
UPMC St. Margaret Pittsburgh $19.80 $4.34 – $28.05

All Pennsylvania hospitals for this procedure →