healthcosts.net
Bld prd mix at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$29.40
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.
$49.00
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.
$14.99 with Aetna vs $176.44 with PA Health & Wellness — 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 |
|---|---|---|---|
| Aetna | PEBTF Custom Network | $14.99 | ↓ -49% |
| Aetna | Commercial | $17.64 | ↓ -40% |
| Coventry/First Health | Commercial | $18.52 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $19.50 | ↓ -34% |
| UPMC Health Plan | Commercial | $21.36 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $22.96 | ↓ -22% |
| Cigna | Commercial | $25.19 | ↓ -14% |
| PA Health & Wellness | PA Medicaid HMO | $26.95 | ↓ -8% |
| United Healthcare | Commercial | $27.20 | ↓ -7% |
| Wirerope Works | Commercial | $27.24 | ↓ -7% |
| Aetna | First Health | $32.34 | ↑ +10% |
| Geisinger | Commercial | $32.83 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $32.98 | ↑ +12% |
| Multiplan | Auto | $38.22 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $38.22 | ↑ +30% |
| America's Choice | PPO | $39.20 | ↑ +33% |
| InterGroup | PPO | $39.20 | ↑ +33% |
| Three Rivers Provider Network | All | $44.10 | ↑ +50% |
| United Healthcare Community Plan for Families | PA Medicaid | $122.78 | ↑ +318% |
| Geisinger | CHIP | $163.37 | ↑ +456% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $164.97 | ↑ +461% |
| UPMC Health Plan | Managed Medicare | $166.64 | ↑ +467% |
| Aetna | Medicare | $168.27 | ↑ +472% |
| AmeriHealth Caritas | Medicare | $168.27 | ↑ +472% |
| United Healthcare | Medicare | $174.81 | ↑ +495% |
| Highmark Wholecare (prev Gateway) | Medicare | $176.42 | ↑ +500% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $176.44 | ↑ +500% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Bld prd mix at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $106.80 | $36.19 – $179.71 |
| UPMC Mercy | Pittsburgh | $81.60 | $35.98 – $176.44 |
| UPMC Presbyterian | Pittsburgh | $498.00 | $38.19 – $705.50 |
| UPMC Somerset | Somerset | $201.60 | $47.27 – $252.00 |
| UPMC St. Margaret | Pittsburgh | $237.00 | $36.28 – $335.75 |