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Methotrexate sodium 2.5 mg tablet at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$38.60
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.
$48.25
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.
$0.19 with AmeriHealth Caritas vs $43.20 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.19 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $0.19 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.19 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicare | $0.19 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $0.19 | ↓ -100% |
| UPMC Health Plan | CHIP | $0.21 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $0.21 | ↓ -99% |
| Aetna | Medicare | $12.96 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $13.02 | ↓ -66% |
| Multiplan | Worker's Compensation | $14.38 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $19.10 | ↓ -51% |
| Aetna | PEBTF Custom Network | $19.46 | ↓ -50% |
| UPMC Health Plan | Commercial | $20.93 | ↓ -46% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $22.49 | ↓ -42% |
| Aetna | Commercial | $22.90 | ↓ -41% |
| Coventry/First Health | Commercial | $24.05 | ↓ -38% |
| Wirerope Works | Commercial | $26.69 | ↓ -31% |
| Aetna | First Health | $31.68 | ↓ -18% |
| Geisinger | Commercial | $32.16 | ↓ -17% |
| Coventry/First Health | FH-Medical Rental | $32.30 | ↓ -16% |
| United Healthcare | Commercial | $32.83 | ↓ -15% |
| Cigna | Commercial | $32.88 | ↓ -15% |
| Multiplan | Auto | $37.44 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $37.44 | ↓ -3% |
| America's Choice | PPO | $38.40 | ↓ -1% |
| InterGroup | PPO | $38.40 | ↓ -1% |
| Three Rivers Provider Network | All | $43.20 | ↑ +12% |
Visitor-reported prices
Comments
Methotrexate sodium 2.5 mg tablet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $17.20 | $0.12 – $7.16 |
| UPMC Muncy | Muncy | $38.60 | $0.19 – $43.20 |
| UPMC Northwest | Seneca | $29.80 | $0.12 – $12.93 |
| UPMC Passavant-McCandless | Pittsburgh | $28.65 | $0.12 – $25.50 |
| UPMC Presbyterian | Pittsburgh | $28.65 | $0.12 – $39.95 |
| UPMC Somerset | Somerset | $1.80 | $0.19 – $7.08 |
| UPMC St. Margaret | Pittsburgh | $32.20 | $0.12 – $7.22 |
| UPMC Wellsboro | Wellsboro | $38.60 | $0.16 – $43.20 |