healthcosts.net
Protein electrophoretic fractionation & quantitation serum at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$171.60
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.
$286.00
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.
$10.62 with UPMC Work Partners vs $228.80 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 | $10.62 | ↓ -94% |
| Geisinger | CHIP | $10.74 | ↓ -94% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10.85 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $10.95 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $11.06 | ↓ -94% |
| Aetna | Medicare | $11.06 | ↓ -94% |
| Three Rivers Provider Network | All | $11.36 | ↓ -93% |
| United Healthcare | Medicare | $11.49 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $11.60 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11.60 | ↓ -93% |
| Multiplan | Worker's Compensation | $11.73 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $16.11 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $16.11 | ↓ -91% |
| UPMC Health Plan | CHIP | $16.11 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $16.52 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $18.75 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $20.58 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $24.97 | ↓ -85% |
| Aetna | PEBTF Custom Network | $87.52 | ↓ -49% |
| Aetna | Commercial | $102.96 | ↓ -40% |
| Coventry/First Health | Commercial | $108.11 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $113.80 | ↓ -34% |
| UPMC Health Plan | Commercial | $124.70 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $134.02 | ↓ -22% |
| Cigna | Commercial | $147.00 | ↓ -14% |
| United Healthcare | Commercial | $158.73 | ↓ -8% |
| Wirerope Works | Commercial | $159.02 | ↓ -7% |
| Aetna | First Health | $188.76 | ↑ +10% |
| Geisinger | Commercial | $191.62 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $192.48 | ↑ +12% |
| Multiplan | Auto | $223.08 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $223.08 | ↑ +30% |
| America's Choice | PPO | $228.80 | ↑ +33% |
| InterGroup | PPO | $228.80 | ↑ +33% |
Visitor-reported prices
Comments
Protein electrophoretic fractionation & quantitation serum at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $235.20 | $9.98 – $333.20 |
| UPMC Mercy | Pittsburgh | $119.40 | $8.95 – $179.10 |
| UPMC Muncy | Muncy | $171.60 | $10.62 – $228.80 |
| UPMC Northwest | Seneca | $241.20 | $9.74 – $341.70 |
| UPMC Presbyterian | Pittsburgh | $1,228.80 | $10.62 – $1,740.80 |
| UPMC Somerset | Somerset | $61.20 | $10.62 – $68.25 |
| UPMC St. Margaret | Pittsburgh | $173.40 | $9.27 – $245.65 |
| UPMC Wellsboro | Wellsboro | $207.20 | $10.62 – $233.10 |