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Allograft epieffect 2x3cm-q4186-cost per sq cm at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$4,721.40
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.
$7,869.00
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.
$151.16 with Highmark Wholecare (prev Gateway) vs $891.90 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 | $151.16 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $166.28 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $198.20 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $201.78 | ↓ -96% |
| Aetna | Medicare | $267.57 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $327.03 | ↓ -93% |
| Highmark BCBS of PA | Managed Care - Social Mission | $394.32 | ↓ -92% |
| Aetna | PEBTF Custom Network | $401.85 | ↓ -91% |
| UPMC Health Plan | Commercial | $432.08 | ↓ -91% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $464.38 | ↓ -90% |
| Aetna | Commercial | $472.71 | ↓ -90% |
| Coventry/First Health | Commercial | $496.49 | ↓ -89% |
| Wirerope Works | Commercial | $551.00 | ↓ -88% |
| Aetna | First Health | $654.06 | ↓ -86% |
| Geisinger | Commercial | $663.97 | ↓ -86% |
| Coventry/First Health | FH-Medical Rental | $666.94 | ↓ -86% |
| United Healthcare | Commercial | $677.84 | ↓ -86% |
| Cigna | Commercial | $678.84 | ↓ -86% |
| Multiplan | Auto | $772.98 | ↓ -84% |
| Multiplan | PPO (Includes PHCS as a Payer) | $772.98 | ↓ -84% |
| America's Choice | PPO | $792.80 | ↓ -83% |
| InterGroup | PPO | $792.80 | ↓ -83% |
| Three Rivers Provider Network | All | $891.90 | ↓ -81% |
| 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 epieffect 2x3cm-q4186-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,304.60 | $98.57 – $793.05 |