healthcosts.net
Artery x-rays lung at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,885.80
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.
?
What you pay up front if you don't use insurance.
$3,143.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.20 with United Healthcare Community Plan for Families vs $3,240.82 with PA Health & Wellness — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $19.20 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $27.50 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $27.50 | ↓ -99% |
| UPMC Health Plan | CHIP | $27.50 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.19 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $35.12 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $42.60 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,250.60 | ↓ -34% |
| Aetna | PEBTF Custom Network | $1,274.49 | ↓ -32% |
| UPMC Work Partners | Workers Comp | $1,312.63 | ↓ -30% |
| UPMC Health Plan | Commercial | $1,370.35 | ↓ -27% |
| Three Rivers Provider Network | All | $1,404.21 | ↓ -26% |
| Multiplan | Worker's Compensation | $1,449.99 | ↓ -23% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,472.81 | ↓ -22% |
| Aetna | Commercial | $1,499.21 | ↓ -21% |
| Coventry/First Health | Commercial | $1,574.64 | ↓ -17% |
| Wirerope Works | Commercial | $1,747.51 | ↓ -7% |
| Aetna | First Health | $2,074.38 | ↑ +10% |
| Geisinger | Commercial | $2,105.81 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $2,115.24 | ↑ +12% |
| United Healthcare | Commercial | $2,149.81 | ↑ +14% |
| Cigna | Commercial | $2,152.95 | ↑ +14% |
| Multiplan | Auto | $2,451.54 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,451.54 | ↑ +30% |
| America's Choice | PPO | $2,514.40 | ↑ +33% |
| InterGroup | PPO | $2,514.40 | ↑ +33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,030.17 | ↑ +61% |
| UPMC Health Plan | Managed Medicare | $3,060.78 | ↑ +62% |
| AmeriHealth Caritas | Medicare | $3,090.78 | ↑ +64% |
| Aetna | Medicare | $3,090.78 | ↑ +64% |
| United Healthcare | Medicare | $3,210.81 | ↑ +70% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↑ +72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↑ +72% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Artery x-rays lung at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,919.00 | $27.50 – $4,135.25 |
| UPMC Mercy | Pittsburgh | $2,564.40 | $27.50 – $3,846.60 |
| UPMC Presbyterian | Pittsburgh | $3,324.60 | $18.00 – $4,709.85 |
| UPMC Somerset | Somerset | $3,476.40 | $17.25 – $4,345.50 |