healthcosts.net
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$718.20
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.
$1,197.00
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.
$128.03 with United Healthcare Community Plan for Families vs $584.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $128.03 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $162.04 | ↓ -77% |
| Geisinger | CHIP | $163.96 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $165.57 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $167.24 | ↓ -77% |
| Aetna | Medicare | $168.88 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $168.88 | ↓ -76% |
| Three Rivers Provider Network | All | $173.35 | ↓ -76% |
| United Healthcare | Medicare | $175.44 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $177.06 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $177.08 | ↓ -75% |
| Multiplan | Worker's Compensation | $179.00 | ↓ -75% |
| Coventry/First Health | Commercial | $275.94 | ↓ -62% |
| Highmark BCBS of PA | Managed Care - Social Mission | $290.47 | ↓ -60% |
| Aetna | PEBTF Custom Network | $296.01 | ↓ -59% |
| UPMC Health Plan | Commercial | $318.28 | ↓ -56% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $342.08 | ↓ -52% |
| Aetna | Commercial | $348.21 | ↓ -52% |
| Cigna | Commercial | $375.22 | ↓ -48% |
| PA Health & Wellness | PA Medicaid HMO | $401.50 | ↓ -44% |
| United Healthcare | Commercial | $405.15 | ↓ -44% |
| Wirerope Works | Commercial | $405.88 | ↓ -43% |
| Aetna | First Health | $481.80 | ↓ -33% |
| Geisinger | Commercial | $489.10 | ↓ -32% |
| Coventry/First Health | FH-Medical Rental | $491.29 | ↓ -32% |
| Multiplan | Auto | $569.40 | ↓ -21% |
| Multiplan | PPO (Includes PHCS as a Payer) | $569.40 | ↓ -21% |
| America's Choice | PPO | $584.00 | ↓ -19% |
| InterGroup | PPO | $584.00 | ↓ -19% |
Visitor-reported prices
Comments
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,114.20 | $77.57 – $996.20 |
| UPMC Mercy | Pittsburgh | $1,051.20 | $77.11 – $1,118.70 |
| UPMC Muncy | Muncy | $651.60 | $128.03 – $727.20 |
| UPMC Northwest | Seneca | $1,051.20 | $77.60 – $1,056.55 |
| UPMC Presbyterian | Pittsburgh | $1,051.20 | $81.84 – $1,056.55 |
| UPMC Somerset | Somerset | $947.40 | $115.02 – $1,184.25 |
| UPMC St. Margaret | Pittsburgh | $1,051.20 | $77.75 – $996.20 |
| UPMC Wellsboro | Wellsboro | $788.00 | $128.03 – $779.40 |