healthcosts.net
Cath cv dl inj 7fx16cm at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,059.00
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.
$1,765.00
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.
$7.02 with Aetna vs $64.40 with Highmark Wholecare (prev Gateway) — 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 |
|---|---|---|---|
| Aetna | Medicare | $7.02 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10.35 | ↓ -99% |
| Aetna | PEBTF Custom Network | $10.54 | ↓ -99% |
| UPMC Health Plan | Commercial | $11.34 | ↓ -99% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $12.18 | ↓ -99% |
| Aetna | Commercial | $12.40 | ↓ -99% |
| Coventry/First Health | Commercial | $13.03 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $14.30 | ↓ -99% |
| Wirerope Works | Commercial | $14.46 | ↓ -99% |
| Aetna | First Health | $17.16 | ↓ -98% |
| Geisinger | Commercial | $17.42 | ↓ -98% |
| Coventry/First Health | FH-Medical Rental | $17.50 | ↓ -98% |
| United Healthcare | Commercial | $17.78 | ↓ -98% |
| Cigna | Commercial | $17.81 | ↓ -98% |
| Multiplan | Auto | $20.28 | ↓ -98% |
| Multiplan | PPO (Includes PHCS as a Payer) | $20.28 | ↓ -98% |
| America's Choice | PPO | $20.80 | ↓ -98% |
| InterGroup | PPO | $20.80 | ↓ -98% |
| Three Rivers Provider Network | All | $23.40 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $64.40 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $64.40 | ↓ -94% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Cath cv dl inj 7fx16cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,865.60 | $6.75 – $621.69 |
| UPMC Muncy | Muncy | $532.80 | $9.15 – $54.90 |
| UPMC Northwest | Seneca | $670.80 | $54.75 – $952.71 |
| UPMC Passavant-McCandless | Pittsburgh | $1,887.00 | $1.00 – $1,142.48 |
| UPMC Presbyterian | Pittsburgh | $10,690.80 | $0.90 – $1,272.93 |
| UPMC Somerset | Somerset | $2,185.20 | $21.80 – $471.57 |
| UPMC St. Margaret | Pittsburgh | $2,257.80 | $6.75 – $966.08 |
| UPMC Wellsboro | Wellsboro | $1,068.80 | $4.28 – $59.47 |