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Cap trach decann 15mm at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,842.60
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.
$3,071.00
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.
$141.80 with Highmark Wholecare (prev Gateway) vs $600.30 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 | $141.80 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $141.80 | ↓ -92% |
| Aetna | Medicare | $180.09 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $233.97 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $265.40 | ↓ -86% |
| Aetna | PEBTF Custom Network | $270.47 | ↓ -85% |
| UPMC Health Plan | Commercial | $290.81 | ↓ -84% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $312.56 | ↓ -83% |
| Aetna | Commercial | $318.16 | ↓ -83% |
| Coventry/First Health | Commercial | $334.17 | ↓ -82% |
| Wirerope Works | Commercial | $370.85 | ↓ -80% |
| Aetna | First Health | $440.22 | ↓ -76% |
| Geisinger | Commercial | $446.89 | ↓ -76% |
| Coventry/First Health | FH-Medical Rental | $448.89 | ↓ -76% |
| United Healthcare | Commercial | $456.23 | ↓ -75% |
| Cigna | Commercial | $456.89 | ↓ -75% |
| Multiplan | Auto | $520.26 | ↓ -72% |
| Multiplan | PPO (Includes PHCS as a Payer) | $520.26 | ↓ -72% |
| America's Choice | PPO | $533.60 | ↓ -71% |
| InterGroup | PPO | $533.60 | ↓ -71% |
| Three Rivers Provider Network | All | $600.30 | ↓ -67% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Cap trach decann 15mm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,833.60 | $190.80 – $2,900.70 |
| UPMC Muncy | Muncy | $931.80 | $99.90 – $599.40 |
| UPMC Northwest | Seneca | $1,444.80 | $179.00 – $4,445.18 |
| UPMC Passavant-McCandless | Pittsburgh | $1,708.20 | $131.25 – $5,330.61 |
| UPMC Presbyterian | Pittsburgh | $9,624.00 | $50.88 – $5,939.28 |
| UPMC Somerset | Somerset | $1,737.00 | $51.80 – $2,200.25 |
| UPMC St. Margaret | Pittsburgh | $1,363.20 | $159.00 – $4,507.56 |
| UPMC Wellsboro | Wellsboro | $1,127.20 | $83.16 – $415.80 |