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Angio trnslmnl balloon same artery ea addl at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$4,126.80
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.
$6,878.00
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.
$159.14 with Geisinger vs $5,502.40 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $159.14 | ↓ -96% |
| UPMC Health Plan | CHIP | $159.14 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $159.14 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $163.12 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $185.18 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $203.26 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $246.55 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $1,093.76 | ↓ -73% |
| Three Rivers Provider Network | All | $1,170.07 | ↓ -72% |
| Multiplan | Worker's Compensation | $1,208.22 | ↓ -71% |
| Aetna | Medicare | $1,857.06 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,736.76 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,789.03 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,998.81 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,223.03 | ↓ -22% |
| Aetna | Commercial | $3,280.81 | ↓ -20% |
| Coventry/First Health | Commercial | $3,445.88 | ↓ -16% |
| Wirerope Works | Commercial | $3,824.17 | ↓ -7% |
| Aetna | First Health | $4,539.48 | ↑ +10% |
| Geisinger | Commercial | $4,608.26 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $4,628.89 | ↑ +12% |
| United Healthcare | Commercial | $4,704.55 | ↑ +14% |
| Cigna | Commercial | $4,711.43 | ↑ +14% |
| Multiplan | Auto | $5,364.84 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,364.84 | ↑ +30% |
| America's Choice | PPO | $5,502.40 | ↑ +33% |
| InterGroup | PPO | $5,502.40 | ↑ +33% |
Visitor-reported prices
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Angio trnslmnl balloon same artery ea addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,205.00 | $159.14 – $11,623.75 |
| UPMC Mercy | Pittsburgh | $11,276.40 | $159.14 – $16,914.60 |
| UPMC Northwest | Seneca | $9,692.40 | $159.14 – $13,730.90 |
| UPMC Presbyterian | Pittsburgh | $11,307.00 | $159.14 – $16,018.25 |
| UPMC Somerset | Somerset | $2,162.40 | $159.14 – $2,703.00 |