healthcosts.net
Bx breast add lesion Ultrasound imag at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,914.60
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.
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What you pay up front if you don't use insurance.
$3,191.00
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.
$72.73 with Geisinger vs $2,552.80 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $72.73 | ↓ -96% |
| UPMC Health Plan | CHIP | $72.73 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $72.73 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $74.55 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $84.63 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $92.90 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $112.68 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $710.72 | ↓ -63% |
| Three Rivers Provider Network | All | $760.31 | ↓ -60% |
| Multiplan | Worker's Compensation | $785.10 | ↓ -59% |
| Aetna | Medicare | $861.57 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,269.70 | ↓ -34% |
| Aetna | PEBTF Custom Network | $1,293.95 | ↓ -32% |
| UPMC Health Plan | Commercial | $1,391.28 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,495.30 | ↓ -22% |
| Aetna | Commercial | $1,522.11 | ↓ -20% |
| Coventry/First Health | Commercial | $1,598.69 | ↓ -17% |
| Wirerope Works | Commercial | $1,774.20 | ↓ -7% |
| Aetna | First Health | $2,106.06 | ↑ +10% |
| Geisinger | Commercial | $2,137.97 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $2,147.54 | ↑ +12% |
| United Healthcare | Commercial | $2,182.64 | ↑ +14% |
| Cigna | Commercial | $2,185.84 | ↑ +14% |
| Multiplan | Auto | $2,488.98 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,488.98 | ↑ +30% |
| America's Choice | PPO | $2,552.80 | ↑ +33% |
| InterGroup | PPO | $2,552.80 | ↑ +33% |
Visitor-reported prices
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Bx breast add lesion Ultrasound imag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $1,914.60 | $72.73 – $2,552.80 |
| UPMC Northwest | Seneca | $2,792.40 | $72.73 – $3,955.90 |
| UPMC Somerset | Somerset | $1,042.80 | $72.73 – $1,303.50 |
| UPMC St. Margaret | Pittsburgh | $2,916.60 | $72.73 – $4,131.85 |
| UPMC Wellsboro | Wellsboro | $2,315.20 | $72.73 – $2,604.60 |