healthcosts.net
Prealbumin at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$114.00
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.
$190.00
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.
$14.42 with UPMC Work Partners vs $152.00 with InterGroup — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $14.42 | ↓ -87% |
| Geisinger | CHIP | $14.59 | ↓ -87% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $14.73 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $14.88 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $15.03 | ↓ -87% |
| Aetna | Medicare | $15.03 | ↓ -87% |
| Three Rivers Provider Network | All | $15.43 | ↓ -86% |
| United Healthcare | Medicare | $15.61 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.76 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $15.76 | ↓ -86% |
| Multiplan | Worker's Compensation | $15.93 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $22.18 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $22.18 | ↓ -81% |
| UPMC Health Plan | CHIP | $22.18 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.73 | ↓ -80% |
| United Healthcare Community Plan for Families | PA Medicaid | $25.80 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.32 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $34.36 | ↓ -70% |
| Aetna | PEBTF Custom Network | $58.14 | ↓ -49% |
| Aetna | Commercial | $68.40 | ↓ -40% |
| Coventry/First Health | Commercial | $71.82 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $75.60 | ↓ -34% |
| UPMC Health Plan | Commercial | $82.84 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $89.03 | ↓ -22% |
| Cigna | Commercial | $97.66 | ↓ -14% |
| United Healthcare | Commercial | $105.45 | ↓ -8% |
| Wirerope Works | Commercial | $105.64 | ↓ -7% |
| Aetna | First Health | $125.40 | ↑ +10% |
| Geisinger | Commercial | $127.30 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $127.87 | ↑ +12% |
| Multiplan | Auto | $148.20 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $148.20 | ↑ +30% |
| America's Choice | PPO | $152.00 | ↑ +33% |
| InterGroup | PPO | $152.00 | ↑ +33% |
Visitor-reported prices
Comments
Prealbumin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $62.40 | $13.56 – $88.40 |
| UPMC Mercy | Pittsburgh | $142.20 | $12.16 – $213.30 |
| UPMC Muncy | Muncy | $114.00 | $14.42 – $152.00 |
| UPMC Northwest | Seneca | $76.20 | $13.23 – $107.95 |
| UPMC Presbyterian | Pittsburgh | $688.80 | $14.42 – $975.80 |
| UPMC Somerset | Somerset | $74.40 | $14.42 – $93.00 |
| UPMC St. Margaret | Pittsburgh | $229.20 | $12.60 – $324.70 |
| UPMC Wellsboro | Wellsboro | $137.60 | $14.42 – $154.80 |