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Clsd tx of ankle fracture w/manip 28435 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$4,530.60
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.
$7,551.00
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.
$159.50 with UPMC Health Plan vs $6,040.80 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $159.50 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $159.50 | ↓ -96% |
| UPMC Health Plan | CHIP | $159.50 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $163.49 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $203.72 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $247.11 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $786.09 | ↓ -83% |
| Three Rivers Provider Network | All | $840.94 | ↓ -81% |
| Multiplan | Worker's Compensation | $868.36 | ↓ -81% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -78% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,540.75 | ↓ -66% |
| UPMC Health Plan | Managed Medicare | $1,556.32 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $1,571.57 | ↓ -65% |
| Aetna | Medicare | $1,571.57 | ↓ -65% |
| United Healthcare | Medicare | $1,632.61 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,647.71 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,647.86 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,004.54 | ↓ -34% |
| Aetna | PEBTF Custom Network | $3,061.93 | ↓ -32% |
| UPMC Health Plan | Commercial | $3,292.24 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,538.40 | ↓ -22% |
| Aetna | Commercial | $3,601.83 | ↓ -20% |
| Coventry/First Health | Commercial | $3,783.05 | ↓ -17% |
| Wirerope Works | Commercial | $4,198.36 | ↓ -7% |
| Aetna | First Health | $4,983.66 | ↑ +10% |
| Geisinger | Commercial | $5,059.17 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $5,081.82 | ↑ +12% |
| United Healthcare | Commercial | $5,164.88 | ↑ +14% |
| Cigna | Commercial | $5,172.44 | ↑ +14% |
| Multiplan | Auto | $5,889.78 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,889.78 | ↑ +30% |
| America's Choice | PPO | $6,040.80 | ↑ +33% |
| InterGroup | PPO | $6,040.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx of ankle fracture w/manip 28435 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,960.00 | $159.50 – $5,610.00 |
| UPMC Mercy | Pittsburgh | $1,651.80 | $159.50 – $2,477.70 |
| UPMC Northwest | Seneca | $4,497.60 | $159.50 – $6,371.60 |
| UPMC Presbyterian | Pittsburgh | $5,052.60 | $159.50 – $7,157.85 |
| UPMC Somerset | Somerset | $2,440.80 | $159.50 – $3,051.00 |