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Bronchoscopy w/biopsy(s) 31625 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$2,926.80
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.
$4,878.00
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.
$173.59 with UPMC Health Plan vs $3,902.40 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $173.59 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $173.59 | ↓ -94% |
| UPMC Health Plan | CHIP | $173.59 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $177.93 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $221.72 | ↓ -92% |
| PA Health & Wellness | PA Medicaid HMO | $268.94 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $682.43 | ↓ -77% |
| Three Rivers Provider Network | All | $730.04 | ↓ -75% |
| Multiplan | Worker's Compensation | $753.84 | ↓ -74% |
| United Healthcare Community Plan for Families | PA Medicaid | $849.92 | ↓ -71% |
| Aetna | Medicare | $1,317.06 | ↓ -55% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,660.19 | ↓ -43% |
| UPMC Health Plan | Managed Medicare | $1,676.96 | ↓ -43% |
| AmeriHealth Caritas | Medicare | $1,693.40 | ↓ -42% |
| United Healthcare | Medicare | $1,759.17 | ↓ -40% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,775.44 | ↓ -39% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,775.61 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,940.96 | ↓ -34% |
| Aetna | PEBTF Custom Network | $1,978.03 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,126.81 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,285.83 | ↓ -22% |
| Aetna | Commercial | $2,326.81 | ↓ -20% |
| Coventry/First Health | Commercial | $2,443.88 | ↓ -16% |
| Wirerope Works | Commercial | $2,712.17 | ↓ -7% |
| Aetna | First Health | $3,219.48 | ↑ +10% |
| Geisinger | Commercial | $3,268.26 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $3,282.89 | ↑ +12% |
| United Healthcare | Commercial | $3,336.55 | ↑ +14% |
| Cigna | Commercial | $3,341.43 | ↑ +14% |
| Multiplan | Auto | $3,804.84 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,804.84 | ↑ +30% |
| America's Choice | PPO | $3,902.40 | ↑ +33% |
| InterGroup | PPO | $3,902.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy w/biopsy(s) 31625 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,846.60 | $173.59 – $5,449.35 |
| UPMC Mercy | Pittsburgh | $1,829.40 | $173.59 – $2,744.10 |
| UPMC Northwest | Seneca | $2,132.40 | $173.59 – $3,020.90 |
| UPMC Presbyterian | Pittsburgh | $7,882.80 | $173.59 – $11,167.30 |
| UPMC Somerset | Somerset | $2,168.40 | $173.59 – $2,710.50 |
| UPMC St. Margaret | Pittsburgh | $2,600.40 | $173.59 – $3,683.90 |
| UPMC Wellsboro | Wellsboro | $3,540.00 | $173.59 – $3,982.50 |