healthcosts.net
Cystic fibrosis cftr at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,831.00
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.
$6,385.00
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.
$439.12 with UPMC Health Plan vs $3,854.40 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 | $439.12 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $439.12 | ↓ -89% |
| UPMC Health Plan | CHIP | $439.12 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $450.10 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $493.18 | ↓ -87% |
| Geisinger | CHIP | $499.00 | ↓ -87% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $503.89 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $508.98 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $510.98 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $513.97 | ↓ -87% |
| Aetna | Medicare | $513.97 | ↓ -87% |
| Three Rivers Provider Network | All | $527.58 | ↓ -86% |
| United Healthcare | Medicare | $533.93 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $538.87 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $538.92 | ↓ -86% |
| Multiplan | Worker's Compensation | $544.79 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $560.88 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $680.32 | ↓ -82% |
| Coventry/First Health | Commercial | $1,821.20 | ↓ -52% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,917.08 | ↓ -50% |
| Aetna | PEBTF Custom Network | $1,953.70 | ↓ -49% |
| UPMC Health Plan | Commercial | $2,100.65 | ↓ -45% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,257.71 | ↓ -41% |
| Aetna | Commercial | $2,298.19 | ↓ -40% |
| Cigna | Commercial | $2,476.45 | ↓ -35% |
| United Healthcare | Commercial | $2,673.99 | ↓ -30% |
| Wirerope Works | Commercial | $2,678.81 | ↓ -30% |
| Aetna | First Health | $3,179.88 | ↓ -17% |
| Geisinger | Commercial | $3,228.06 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $3,242.51 | ↓ -15% |
| Multiplan | Auto | $3,758.04 | ↓ -2% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,758.04 | ↓ -2% |
| America's Choice | PPO | $3,854.40 | ↑ +1% |
| InterGroup | PPO | $3,854.40 | ↑ +1% |
Visitor-reported prices
Comments
Cystic fibrosis cftr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $6,408.00 | $439.12 – $9,076.30 |
| UPMC Mercy | Pittsburgh | $4,054.80 | $415.97 – $6,082.20 |
| UPMC Muncy | Muncy | $3,474.60 | $439.12 – $4,632.80 |
| UPMC Presbyterian | Pittsburgh | $4,054.80 | $399.20 – $4,253.40 |
| UPMC Wellsboro | Wellsboro | $4,001.60 | $399.20 – $4,248.90 |