Absorpt drg <=16 sq in w/bdr at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$0.60
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.
$1.00
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.
$0.27 with Aetna vs $3.10 with Multiplan — 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 |
|---|---|---|---|
| Aetna | Medicare | $0.27 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $0.40 | ↓ -33% |
| Aetna | PEBTF Custom Network | $0.41 | ↓ -32% |
| UPMC Health Plan | Commercial | $0.44 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $0.47 | ↓ -22% |
| Aetna | Commercial | $0.48 | ↓ -20% |
| Coventry/First Health | Commercial | $0.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $0.55 | ↓ -8% |
| Wirerope Works | Commercial | $0.56 | ↓ -7% |
| Aetna | First Health | $0.66 | ↑ +10% |
| Coventry/First Health | FH-Medical Rental | $0.67 | ↑ +12% |
| Geisinger | Commercial | $0.67 | ↑ +12% |
| United Healthcare | Commercial | $0.68 | ↑ +13% |
| Cigna | Commercial | $0.69 | ↑ +15% |
| Multiplan | Auto | $0.78 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $0.78 | ↑ +30% |
| America's Choice | PPO | $0.80 | ↑ +33% |
| InterGroup | PPO | $0.80 | ↑ +33% |
| Three Rivers Provider Network | All | $0.90 | ↑ +50% |
| United Healthcare Community Plan for Families | PA Medicaid | $1.37 | ↑ +128% |
| UPMC Work Partners | Workers Comp | $2.80 | ↑ +367% |
| Multiplan | Worker's Compensation | $3.10 | ↑ +417% |
Visitor-reported prices
Comments
Absorpt drg <=16 sq in w/bdr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $13.80 | $2.80 – $20.70 |
| UPMC East | Monroeville | $16.80 | $0.25 – $6.78 |
| UPMC Horizon-Greenville | Greenville | $16.20 | $2.80 – $6.78 |
| UPMC McKeesport | Mckeesport | $14.40 | $1.12 – $6.78 |
| UPMC Passavant-McCandless | Pittsburgh | $15.00 | $2.18 – $9.83 |
| UPMC Presbyterian | Pittsburgh | $1.20 | $1.28 – $10.96 |
| Uniontown Hospital | Uniontown | $92.76 | not published |