healthcosts.net
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,066.20
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.
$1,777.00
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.
$40.65 with Geisinger vs $799.20 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $40.65 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.65 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $40.65 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $41.81 | ↓ -96% |
| UPMC Health Plan | CHIP | $44.72 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $44.72 | ↓ -96% |
| Aetna | Medicare | $239.76 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $240.83 | ↓ -77% |
| Multiplan | Worker's Compensation | $266.04 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $353.34 | ↓ -67% |
| Aetna | PEBTF Custom Network | $360.08 | ↓ -66% |
| UPMC Health Plan | Commercial | $387.17 | ↓ -64% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $416.12 | ↓ -61% |
| Aetna | Commercial | $423.58 | ↓ -60% |
| Coventry/First Health | Commercial | $444.89 | ↓ -58% |
| Wirerope Works | Commercial | $493.73 | ↓ -54% |
| Aetna | First Health | $586.08 | ↓ -45% |
| Geisinger | Commercial | $594.96 | ↓ -44% |
| Coventry/First Health | FH-Medical Rental | $597.62 | ↓ -44% |
| United Healthcare | Commercial | $607.39 | ↓ -43% |
| Cigna | Commercial | $608.28 | ↓ -43% |
| Multiplan | Auto | $692.64 | ↓ -35% |
| Multiplan | PPO (Includes PHCS as a Payer) | $692.64 | ↓ -35% |
| America's Choice | PPO | $710.40 | ↓ -33% |
| InterGroup | PPO | $710.40 | ↓ -33% |
| Three Rivers Provider Network | All | $799.20 | ↓ -25% |
Visitor-reported prices
Comments
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $793.80 | $25.67 – $1,190.70 |
| UPMC Muncy | Muncy | $1,066.20 | $40.65 – $799.20 |
| UPMC Northwest | Seneca | $824.40 | $25.67 – $1,167.90 |
| UPMC Passavant-McCandless | Pittsburgh | $1,422.60 | $25.67 – $175.95 |
| UPMC Presbyterian | Pittsburgh | $2,845.20 | $25.67 – $2,015.35 |
| UPMC Somerset | Somerset | $104.40 | $19.53 – $136.34 |
| UPMC St. Margaret | Pittsburgh | $2,056.20 | $25.67 – $2,912.95 |
| UPMC Wellsboro | Wellsboro | $1,066.20 | $40.65 – $799.20 |