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Application short leg cast 29405 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$62.40
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.
$104.00
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.
$41.38 with Highmark BCBS of PA vs $993.28 with United Healthcare Community Plan for Families — 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 BCBS of PA | Managed Care - Social Mission | $41.38 | ↓ -34% |
| Aetna | PEBTF Custom Network | $42.17 | ↓ -32% |
| UPMC Health Plan | Commercial | $45.34 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $48.73 | ↓ -22% |
| Aetna | Commercial | $49.61 | ↓ -20% |
| Coventry/First Health | Commercial | $52.10 | ↓ -17% |
| UPMC Health Plan | Managed Medicaid | $55.55 | ↓ -11% |
| Geisinger | Medicaid/CHIP | $55.55 | ↓ -11% |
| UPMC Health Plan | CHIP | $55.55 | ↓ -11% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $56.94 | ↓ -9% |
| Wirerope Works | Commercial | $57.82 | ↓ -7% |
| Aetna | First Health | $68.64 | ↑ +10% |
| Geisinger | Commercial | $69.68 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $69.99 | ↑ +12% |
| Highmark Wholecare (prev Gateway) | Medicaid | $70.95 | ↑ +14% |
| United Healthcare | Commercial | $71.14 | ↑ +14% |
| Cigna | Commercial | $71.24 | ↑ +14% |
| Multiplan | Auto | $81.12 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $81.12 | ↑ +30% |
| America's Choice | PPO | $83.20 | ↑ +33% |
| InterGroup | PPO | $83.20 | ↑ +33% |
| PA Health & Wellness | PA Medicaid HMO | $86.06 | ↑ +38% |
| Three Rivers Provider Network | All | $93.60 | ↑ +50% |
| UPMC Work Partners | Workers Comp | $202.97 | ↑ +225% |
| Multiplan | Worker's Compensation | $224.21 | ↑ +259% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $255.68 | ↑ +310% |
| UPMC Health Plan | Managed Medicare | $258.26 | ↑ +314% |
| AmeriHealth Caritas | Medicare | $260.80 | ↑ +318% |
| Aetna | Medicare | $260.80 | ↑ +318% |
| United Healthcare | Medicare | $270.92 | ↑ +334% |
| Highmark Wholecare (prev Gateway) | Medicare | $273.43 | ↑ +338% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $273.46 | ↑ +338% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↑ +1492% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Application short leg cast 29405 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $699.60 | $55.55 – $991.10 |
| UPMC Mercy | Pittsburgh | $366.60 | $55.55 – $549.90 |
| UPMC Northwest | Seneca | $366.60 | $55.55 – $519.35 |
| UPMC Presbyterian | Pittsburgh | $901.80 | $55.55 – $1,277.55 |
| UPMC Somerset | Somerset | $520.80 | $55.55 – $892.40 |
| UPMC Wellsboro | Wellsboro | $103.20 | $17.05 – $993.28 |