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Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$2,982.60
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.
$4,971.00
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.
$265.00 with Highmark Wholecare (prev Gateway) vs $1,192.50 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 Wholecare (prev Gateway) | Medicaid | $265.00 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicare | $265.00 | ↓ -91% |
| Aetna | Medicare | $357.75 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $437.25 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $527.22 | ↓ -82% |
| Aetna | PEBTF Custom Network | $537.29 | ↓ -82% |
| UPMC Health Plan | Commercial | $577.70 | ↓ -81% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $620.89 | ↓ -79% |
| Aetna | Commercial | $632.02 | ↓ -79% |
| Coventry/First Health | Commercial | $663.83 | ↓ -78% |
| Wirerope Works | Commercial | $736.70 | ↓ -75% |
| Aetna | First Health | $874.50 | ↓ -71% |
| Geisinger | Commercial | $887.75 | ↓ -70% |
| Coventry/First Health | FH-Medical Rental | $891.73 | ↓ -70% |
| United Healthcare | Commercial | $906.30 | ↓ -70% |
| Cigna | Commercial | $907.62 | ↓ -70% |
| Multiplan | Auto | $1,033.50 | ↓ -65% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,033.50 | ↓ -65% |
| America's Choice | PPO | $1,060.00 | ↓ -64% |
| InterGroup | PPO | $1,060.00 | ↓ -64% |
| Three Rivers Provider Network | All | $1,192.50 | ↓ -60% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $2,221.80 | $555.45 – $3,332.70 |
| UPMC Passavant-McCandless | Pittsburgh | $6,838.20 | $319.22 – $5,230.33 |
| UPMC Presbyterian | Pittsburgh | $19,476.00 | $717.36 – $5,827.55 |
| UPMC St. Margaret | Pittsburgh | $4,444.20 | $1,481.40 – $6,295.95 |
| UPMC Wellsboro | Wellsboro | $2,929.80 | $604.62 – $3,023.10 |