healthcosts.net
Bx skin tangential ea sep/ addl les at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$148.80
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.
$248.00
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.
$20.52 with Geisinger vs $88.00 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 | $20.52 | ↓ -86% |
| UPMC Health Plan | CHIP | $20.52 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $20.52 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.03 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $23.87 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $26.20 | ↓ -82% |
| Aetna | Medicare | $29.70 | ↓ -80% |
| PA Health & Wellness | PA Medicaid HMO | $31.78 | ↓ -79% |
| Highmark BCBS of PA | Managed Care - Social Mission | $43.77 | ↓ -71% |
| Aetna | PEBTF Custom Network | $44.60 | ↓ -70% |
| UPMC Health Plan | Commercial | $47.96 | ↓ -68% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $51.55 | ↓ -65% |
| Aetna | Commercial | $52.47 | ↓ -65% |
| Coventry/First Health | Commercial | $55.11 | ↓ -63% |
| Wirerope Works | Commercial | $61.16 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $62.98 | ↓ -58% |
| Three Rivers Provider Network | All | $67.37 | ↓ -55% |
| Multiplan | Worker's Compensation | $69.57 | ↓ -53% |
| Aetna | First Health | $72.60 | ↓ -51% |
| Geisinger | Commercial | $73.70 | ↓ -50% |
| Coventry/First Health | FH-Medical Rental | $74.03 | ↓ -50% |
| United Healthcare | Commercial | $75.24 | ↓ -49% |
| Cigna | Commercial | $75.35 | ↓ -49% |
| Multiplan | Auto | $85.80 | ↓ -42% |
| Multiplan | PPO (Includes PHCS as a Payer) | $85.80 | ↓ -42% |
| America's Choice | PPO | $88.00 | ↓ -41% |
| InterGroup | PPO | $88.00 | ↓ -41% |
Visitor-reported prices
Comments
Bx skin tangential ea sep/ addl les at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $666.00 | $20.52 – $943.50 |
| UPMC Presbyterian | Pittsburgh | $832.80 | $20.52 – $1,179.80 |
| UPMC St. Margaret | Pittsburgh | $966.00 | $20.52 – $1,368.50 |
| UPMC Wellsboro | Wellsboro | $180.00 | $20.52 – $136.80 |