healthcosts.net
Cardiac perf spect sgl/ef/wm rst/strs at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,772.20
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.
?
What you pay up front if you don't use insurance.
$6,287.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$243.44 with United Healthcare Community Plan for Families vs $5,029.60 with InterGroup — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $243.44 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $267.23 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $267.23 | ↓ -93% |
| UPMC Health Plan | CHIP | $267.23 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $273.91 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $324.73 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $341.33 | ↓ -91% |
| Three Rivers Provider Network | All | $347.38 | ↓ -91% |
| Multiplan | Worker's Compensation | $358.71 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $414.02 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,256.82 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $1,269.51 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $1,281.96 | ↓ -66% |
| Aetna | Medicare | $1,281.96 | ↓ -66% |
| United Healthcare | Medicare | $1,331.74 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,344.07 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,344.19 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,501.60 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,549.38 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,741.13 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,946.09 | ↓ -22% |
| Aetna | Commercial | $2,998.90 | ↓ -20% |
| Coventry/First Health | Commercial | $3,149.79 | ↓ -16% |
| Wirerope Works | Commercial | $3,495.57 | ↓ -7% |
| Aetna | First Health | $4,149.42 | ↑ +10% |
| Geisinger | Commercial | $4,212.29 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $4,231.15 | ↑ +12% |
| United Healthcare | Commercial | $4,300.31 | ↑ +14% |
| Cigna | Commercial | $4,306.60 | ↑ +14% |
| Multiplan | Auto | $4,903.86 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,903.86 | ↑ +30% |
| America's Choice | PPO | $5,029.60 | ↑ +33% |
| InterGroup | PPO | $5,029.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cardiac perf spect sgl/ef/wm rst/strs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,260.60 | $267.23 – $6,035.85 |
| UPMC Mercy | Pittsburgh | $2,236.20 | $267.23 – $3,354.30 |
| UPMC Muncy | Muncy | $3,772.20 | $243.44 – $5,029.60 |
| UPMC Northwest | Seneca | $1,963.80 | $267.23 – $2,782.05 |
| UPMC Presbyterian | Pittsburgh | $4,653.00 | $228.23 – $6,591.75 |
| UPMC Somerset | Somerset | $4,242.60 | $130.35 – $324.73 |
| UPMC St. Margaret | Pittsburgh | $3,886.20 | $267.23 – $5,505.45 |
| UPMC Wellsboro | Wellsboro | $4,562.40 | $243.44 – $5,132.70 |