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Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution at UPMC Williamsport

700 High Street, Williamsport, PA · UPMC · · NPI 164974648

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$115.20

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$144.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.81 with AmeriHealth Caritas vs $129.60 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 →

Payer
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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
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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 $1.81 ↓ -98%
Geisinger Medicaid/CHIP $1.81 ↓ -98%
Highmark Wholecare (prev Gateway) Medicaid $1.81 ↓ -98%
PA Health & Wellness PA Medicaid HMO $1.81 ↓ -98%
Highmark Wholecare (prev Gateway) Medicare $1.86 ↓ -98%
UPMC Health Plan CHIP $1.99 ↓ -98%
UPMC Health Plan Managed Medicaid $1.99 ↓ -98%
Aetna Medicare $38.88 ↓ -66%
UPMC Work Partners Workers Comp $39.05 ↓ -66%
Multiplan Worker's Compensation $43.14 ↓ -63%
Highmark BCBS of PA Managed Care - Social Mission $57.30 ↓ -50%
Aetna PEBTF Custom Network $58.39 ↓ -49%
UPMC Health Plan Commercial $62.78 ↓ -46%
Highmark BCBS of PA Bluecare HMO/FPLIC PPO/Traditional Products $67.48 ↓ -41%
Aetna Commercial $68.69 ↓ -40%
Coventry/First Health Commercial $72.14 ↓ -37%
Wirerope Works Commercial $80.06 ↓ -31%
Aetna First Health $95.04 ↓ -18%
Geisinger Commercial $96.48 ↓ -16%
Coventry/First Health FH-Medical Rental $96.91 ↓ -16%
United Healthcare Commercial $98.50 ↓ -14%
Cigna Commercial $98.64 ↓ -14%
Multiplan Auto $112.32 ↓ -3%
Multiplan PPO (Includes PHCS as a Payer) $112.32 ↓ -3%
America's Choice PPO $115.20 ↑ +0%
InterGroup PPO $115.20 ↑ +0%
Three Rivers Provider Network All $129.60 ↑ +13%

Visitor-reported prices

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Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $16.40 $1.14 – $18.00
UPMC Muncy Muncy $115.20 $1.81 – $106.20
UPMC Northwest Seneca $16.20 $1.14 – $17.00
UPMC Passavant-McCandless Pittsburgh $83.40 $1.14 – $42.92
UPMC Presbyterian Pittsburgh $30.30 $1.14 – $42.50
UPMC Somerset Somerset $5.40 $0.67 – $5.12
UPMC St. Margaret Pittsburgh $24.00 $1.14 – $25.50
UPMC Wellsboro Wellsboro $115.20 $1.81 – $100.80

All Pennsylvania hospitals for this procedure →