healthcosts.net
Brach/thor cath 1st at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,107.60
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.
$1,846.00
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.
$189.20 with Geisinger vs $1,476.80 with InterGroup — 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $189.20 | ↓ -83% |
| UPMC Health Plan | CHIP | $189.20 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $189.20 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $193.93 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $241.66 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $293.12 | ↓ -74% |
| Aetna | Medicare | $498.42 | ↓ -55% |
| UPMC Work Partners | Workers Comp | $672.41 | ↓ -39% |
| Three Rivers Provider Network | All | $719.32 | ↓ -35% |
| Highmark BCBS of PA | Managed Care - Social Mission | $734.52 | ↓ -34% |
| Multiplan | Worker's Compensation | $742.78 | ↓ -33% |
| Aetna | PEBTF Custom Network | $748.55 | ↓ -32% |
| UPMC Health Plan | Commercial | $804.86 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $865.04 | ↓ -22% |
| Aetna | Commercial | $880.54 | ↓ -21% |
| Coventry/First Health | Commercial | $924.85 | ↓ -16% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -10% |
| Wirerope Works | Commercial | $1,026.38 | ↓ -7% |
| Aetna | First Health | $1,218.36 | ↑ +10% |
| Geisinger | Commercial | $1,236.82 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,242.36 | ↑ +12% |
| United Healthcare | Commercial | $1,262.66 | ↑ +14% |
| Cigna | Commercial | $1,264.51 | ↑ +14% |
| Multiplan | Auto | $1,439.88 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,439.88 | ↑ +30% |
| America's Choice | PPO | $1,476.80 | ↑ +33% |
| InterGroup | PPO | $1,476.80 | ↑ +33% |
Visitor-reported prices
Comments
Brach/thor cath 1st at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,318.20 | $189.20 – $10,367.45 |
| UPMC Mercy | Pittsburgh | $4,953.00 | $189.20 – $7,429.50 |
| UPMC Northwest | Seneca | $8,405.40 | $189.20 – $11,907.65 |
| UPMC Presbyterian | Pittsburgh | $13,008.00 | $189.20 – $18,428.00 |
| UPMC Somerset | Somerset | $4,321.20 | $189.20 – $5,401.50 |
| UPMC St. Margaret | Pittsburgh | $3,108.00 | $189.20 – $4,403.00 |