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Cap nerve 2x15mm at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,405.60
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.
$5,676.00
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.
$72.00 with Highmark Wholecare (prev Gateway) vs $324.00 with Three Rivers Provider Network — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $72.00 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicare | $72.00 | ↓ -98% |
| Aetna | Medicare | $97.20 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $118.80 | ↓ -97% |
| Highmark BCBS of PA | Managed Care - Social Mission | $143.24 | ↓ -96% |
| Aetna | PEBTF Custom Network | $145.98 | ↓ -96% |
| UPMC Health Plan | Commercial | $156.96 | ↓ -95% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $168.70 | ↓ -95% |
| Aetna | Commercial | $171.72 | ↓ -95% |
| Coventry/First Health | Commercial | $180.36 | ↓ -95% |
| Wirerope Works | Commercial | $200.16 | ↓ -94% |
| Aetna | First Health | $237.60 | ↓ -93% |
| Geisinger | Commercial | $241.20 | ↓ -93% |
| Coventry/First Health | FH-Medical Rental | $242.28 | ↓ -93% |
| United Healthcare | Commercial | $246.24 | ↓ -93% |
| Cigna | Commercial | $246.60 | ↓ -93% |
| Multiplan | Auto | $280.80 | ↓ -92% |
| Multiplan | PPO (Includes PHCS as a Payer) | $280.80 | ↓ -92% |
| America's Choice | PPO | $288.00 | ↓ -92% |
| InterGroup | PPO | $288.00 | ↓ -92% |
| Three Rivers Provider Network | All | $324.00 | ↓ -90% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Cap nerve 2x15mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $5,785.80 | $275.52 – $2,925.42 |
| UPMC Muncy | Muncy | $792.00 | $54.00 – $324.00 |
| UPMC Northwest | Seneca | $706.20 | $294.25 – $4,483.06 |
| UPMC Passavant-McCandless | Pittsburgh | $8,136.00 | $73.92 – $5,376.04 |
| UPMC Presbyterian | Pittsburgh | $10,847.40 | $78.96 – $5,989.90 |
| UPMC St. Margaret | Pittsburgh | $1,620.00 | $189.40 – $4,545.98 |
| UPMC Wellsboro | Wellsboro | $2,275.20 | $58.86 – $294.30 |