healthcosts.net
Abd aorta w/runoff s&i at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$4,443.00
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.
$7,405.00
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.
$198.37 with United Healthcare Community Plan for Families vs $5,924.00 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 | $198.37 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $268.71 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $268.71 | ↓ -94% |
| UPMC Health Plan | CHIP | $268.71 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $275.43 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $343.21 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $416.30 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $1,385.38 | ↓ -69% |
| Three Rivers Provider Network | All | $1,482.04 | ↓ -67% |
| Multiplan | Worker's Compensation | $1,530.36 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,946.45 | ↓ -34% |
| Aetna | PEBTF Custom Network | $3,002.73 | ↓ -32% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,030.17 | ↓ -32% |
| UPMC Health Plan | Managed Medicare | $3,060.78 | ↓ -31% |
| AmeriHealth Caritas | Medicare | $3,090.78 | ↓ -30% |
| Aetna | Medicare | $3,090.78 | ↓ -30% |
| United Healthcare | Medicare | $3,210.81 | ↓ -28% |
| UPMC Health Plan | Commercial | $3,228.58 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↓ -27% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,469.98 | ↓ -22% |
| Aetna | Commercial | $3,532.18 | ↓ -21% |
| Coventry/First Health | Commercial | $3,709.91 | ↓ -16% |
| Wirerope Works | Commercial | $4,117.18 | ↓ -7% |
| Aetna | First Health | $4,887.30 | ↑ +10% |
| Geisinger | Commercial | $4,961.35 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $4,983.56 | ↑ +12% |
| United Healthcare | Commercial | $5,065.02 | ↑ +14% |
| Cigna | Commercial | $5,072.43 | ↑ +14% |
| Multiplan | Auto | $5,775.90 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,775.90 | ↑ +30% |
| America's Choice | PPO | $5,924.00 | ↑ +33% |
| InterGroup | PPO | $5,924.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abd aorta w/runoff s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,546.00 | $268.71 – $5,023.50 |
| UPMC Mercy | Pittsburgh | $4,845.60 | $268.71 – $7,268.40 |
| UPMC Presbyterian | Pittsburgh | $12,253.80 | $185.98 – $17,359.55 |
| UPMC Somerset | Somerset | $5,906.40 | $178.23 – $7,383.00 |
| UPMC St. Margaret | Pittsburgh | $2,938.80 | $268.71 – $4,163.30 |