healthcosts.net
Lutetium lu 177 dotatat ther at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$607.20
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.
$1,012.00
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.
$320.10 with Highmark BCBS of PA vs $910.80 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $320.10 | ↓ -47% |
| UPMC Health Plan | Managed Medicare | $323.33 | ↓ -47% |
| Aetna | Medicare | $326.50 | ↓ -46% |
| AmeriHealth Caritas | Medicare | $326.50 | ↓ -46% |
| United Healthcare | Medicare | $339.18 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $342.32 | ↓ -44% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $342.35 | ↓ -44% |
| Highmark BCBS of PA | Managed Care - Social Mission | $402.67 | ↓ -34% |
| Aetna | PEBTF Custom Network | $410.37 | ↓ -32% |
| UPMC Health Plan | Commercial | $441.23 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $474.22 | ↓ -22% |
| Aetna | Commercial | $482.72 | ↓ -21% |
| Coventry/First Health | Commercial | $507.01 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $556.60 | ↓ -8% |
| Wirerope Works | Commercial | $562.67 | ↓ -7% |
| Aetna | First Health | $667.92 | ↑ +10% |
| Geisinger | Commercial | $678.04 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $681.08 | ↑ +12% |
| United Healthcare | Commercial | $692.21 | ↑ +14% |
| Cigna | Commercial | $693.22 | ↑ +14% |
| Multiplan | Auto | $789.36 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $789.36 | ↑ +30% |
| America's Choice | PPO | $809.60 | ↑ +33% |
| InterGroup | PPO | $809.60 | ↑ +33% |
| Three Rivers Provider Network | All | $910.80 | ↑ +50% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Lutetium lu 177 dotatat ther at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $1,290.00 | $166.93 – $1,827.50 |
| UPMC Somerset | Somerset | $616.20 | $163.69 – $770.25 |