Pinworm examinations at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$48.00
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.
$80.00
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.
$4.31 with Highmark BCBS of PA vs $72.00 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 →
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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 | $4.31 | ↓ -91% |
| UPMC Health Plan | Managed Medicare | $4.36 | ↓ -91% |
| AmeriHealth Caritas | Medicare | $4.40 | ↓ -91% |
| Aetna | Medicare | $4.40 | ↓ -91% |
| United Healthcare | Medicare | $4.57 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.61 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.61 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $8.32 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $8.32 | ↓ -83% |
| UPMC Health Plan | CHIP | $8.32 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.52 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.68 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.62 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $12.88 | ↓ -73% |
| Aetna | PEBTF Custom Network | $24.48 | ↓ -49% |
| Aetna | Commercial | $28.80 | ↓ -40% |
| Coventry/First Health | Commercial | $30.24 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $31.83 | ↓ -34% |
| UPMC Health Plan | Commercial | $34.88 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $37.49 | ↓ -22% |
| United Healthcare | Commercial | $44.40 | ↓ -8% |
| Wirerope Works | Commercial | $44.48 | ↓ -7% |
| Aetna | First Health | $52.80 | ↑ +10% |
| Geisinger | Commercial | $53.60 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $53.84 | ↑ +12% |
| Cigna | Commercial | $54.80 | ↑ +14% |
| Multiplan | PPO (Includes PHCS as a Payer) | $62.40 | ↑ +30% |
| Multiplan | Auto | $62.40 | ↑ +30% |
| InterGroup | PPO | $64.00 | ↑ +33% |
| America's Choice | PPO | $64.00 | ↑ +33% |
| Three Rivers Provider Network | All | $72.00 | ↑ +50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Pinworm examinations at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $48.00 | $3.82 – $10.51 |
| UPMC Jameson | New Castle | $48.00 | $4.27 – $14.13 |
| UPMC McKeesport | Mckeesport | $46.80 | $3.96 – $14.02 |
| UPMC Muncy | Muncy | $48.00 | $8.32 – $12.88 |