healthcosts.net
Dch pulmonary stress test at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$660.60
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.
?
What you pay up front if you don't use insurance.
$1,101.00
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.
$81.36 with United Healthcare Community Plan for Families vs $880.80 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 | $81.36 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $119.14 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $119.14 | ↓ -82% |
| UPMC Health Plan | CHIP | $119.14 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $122.12 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $152.18 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $184.58 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $198.64 | ↓ -70% |
| Three Rivers Provider Network | All | $212.50 | ↓ -68% |
| Multiplan | Worker's Compensation | $219.43 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $299.79 | ↓ -55% |
| UPMC Health Plan | Managed Medicare | $302.82 | ↓ -54% |
| AmeriHealth Caritas | Medicare | $305.79 | ↓ -54% |
| Aetna | Medicare | $305.79 | ↓ -54% |
| United Healthcare | Medicare | $317.66 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.60 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $320.63 | ↓ -51% |
| Highmark BCBS of PA | Managed Care - Social Mission | $438.09 | ↓ -34% |
| Aetna | PEBTF Custom Network | $446.46 | ↓ -32% |
| UPMC Health Plan | Commercial | $480.04 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $515.93 | ↓ -22% |
| Aetna | Commercial | $525.18 | ↓ -20% |
| Coventry/First Health | Commercial | $551.60 | ↓ -17% |
| Wirerope Works | Commercial | $612.16 | ↓ -7% |
| Aetna | First Health | $726.66 | ↑ +10% |
| Geisinger | Commercial | $737.67 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $740.97 | ↑ +12% |
| United Healthcare | Commercial | $753.08 | ↑ +14% |
| Cigna | Commercial | $754.18 | ↑ +14% |
| Multiplan | Auto | $858.78 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $858.78 | ↑ +30% |
| America's Choice | PPO | $880.80 | ↑ +33% |
| InterGroup | PPO | $880.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Dch pulmonary stress test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $156.00 | $39.00 – $212.50 |
| UPMC Passavant-McCandless | Pittsburgh | $432.60 | $70.26 – $612.85 |
| UPMC Presbyterian | Pittsburgh | $3,041.40 | $70.26 – $4,308.65 |
| UPMC Somerset | Somerset | $650.40 | $68.89 – $813.00 |
| UPMC Wellsboro | Wellsboro | $188.80 | $42.48 – $212.40 |