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Tc-99m exametazime diag at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$717.00
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.
$1,195.00
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.
$475.49 with Highmark BCBS of PA vs $1,075.50 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 | Managed Care - Social Mission | $475.49 | ↓ -34% |
| Aetna | PEBTF Custom Network | $484.57 | ↓ -32% |
| UPMC Health Plan | Commercial | $521.02 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $559.98 | ↓ -22% |
| Aetna | Commercial | $570.01 | ↓ -21% |
| Coventry/First Health | Commercial | $598.70 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $657.25 | ↓ -8% |
| Wirerope Works | Commercial | $664.42 | ↓ -7% |
| Aetna | First Health | $788.70 | ↑ +10% |
| Geisinger | Commercial | $800.65 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $804.24 | ↑ +12% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $810.20 | ↑ +13% |
| United Healthcare | Commercial | $817.38 | ↑ +14% |
| UPMC Health Plan | Managed Medicare | $818.39 | ↑ +14% |
| Cigna | Commercial | $818.58 | ↑ +14% |
| Aetna | Medicare | $826.41 | ↑ +15% |
| AmeriHealth Caritas | Medicare | $826.41 | ↑ +15% |
| United Healthcare | Medicare | $858.50 | ↑ +20% |
| Highmark Wholecare (prev Gateway) | Medicare | $866.45 | ↑ +21% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $866.53 | ↑ +21% |
| Multiplan | Auto | $932.10 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $932.10 | ↑ +30% |
| America's Choice | PPO | $956.00 | ↑ +33% |
| InterGroup | PPO | $956.00 | ↑ +33% |
| Three Rivers Provider Network | All | $1,075.50 | ↑ +50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Tc-99m exametazime diag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $1,750.20 | $727.64 – $2,479.45 |
| UPMC Passavant-McCandless | Pittsburgh | $3,733.20 | $745.61 – $5,288.70 |
| UPMC Presbyterian | Pittsburgh | $8,173.20 | $866.53 – $11,578.70 |
| UPMC St. Margaret | Pittsburgh | $1,461.00 | $613.62 – $2,069.75 |
| UPMC Wellsboro | Wellsboro | $867.20 | $195.12 – $975.60 |