healthcosts.net
Cath plc art ang/grft lt/rt hr at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$6,051.00
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.
$10,085.00
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.
$993.28 with United Healthcare Community Plan for Families vs $8,068.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $2,119.68 | ↓ -65% |
| Three Rivers Provider Network | All | $2,267.56 | ↓ -63% |
| Multiplan | Worker's Compensation | $2,341.50 | ↓ -61% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,096.51 | ↓ -49% |
| UPMC Health Plan | Managed Medicare | $3,127.79 | ↓ -48% |
| Aetna | Medicare | $3,158.45 | ↓ -48% |
| AmeriHealth Caritas | Medicare | $3,158.45 | ↓ -48% |
| United Healthcare | Medicare | $3,281.11 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,311.47 | ↓ -45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,311.78 | ↓ -45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,012.82 | ↓ -34% |
| Aetna | PEBTF Custom Network | $4,089.47 | ↓ -32% |
| UPMC Health Plan | Commercial | $4,397.06 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $4,725.83 | ↓ -22% |
| Aetna | Commercial | $4,810.55 | ↓ -20% |
| Coventry/First Health | Commercial | $5,052.59 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $5,546.75 | ↓ -8% |
| Wirerope Works | Commercial | $5,607.26 | ↓ -7% |
| Aetna | First Health | $6,656.10 | ↑ +10% |
| Geisinger | Commercial | $6,756.95 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $6,787.20 | ↑ +12% |
| United Healthcare | Commercial | $6,898.14 | ↑ +14% |
| Cigna | Commercial | $6,908.23 | ↑ +14% |
| Multiplan | Auto | $7,866.30 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $7,866.30 | ↑ +30% |
| America's Choice | PPO | $8,068.00 | ↑ +33% |
| InterGroup | PPO | $8,068.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cath plc art ang/grft lt/rt hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $14,482.80 | $1,756.25 – $21,724.20 |
| UPMC Northwest | Seneca | $11,503.20 | $2,119.68 – $16,296.20 |
| UPMC Passavant-McCandless | Pittsburgh | $21,694.80 | $1,772.97 – $30,734.30 |
| UPMC Presbyterian | Pittsburgh | $13,124.40 | $931.20 – $18,592.90 |
| UPMC Somerset | Somerset | $7,636.80 | $892.40 – $9,546.00 |