healthcosts.net
Dch validity tests at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$51.00
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.
$85.00
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.
$3.44 with UPMC Work Partners vs $9.60 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 Work Partners | Workers Comp | $3.44 | ↓ -93% |
| Geisinger | CHIP | $3.48 | ↓ -93% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3.51 | ↓ -93% |
| UPMC Health Plan | Managed Medicare | $3.55 | ↓ -93% |
| AmeriHealth Caritas | Medicare | $3.58 | ↓ -93% |
| Aetna | Medicare | $3.58 | ↓ -93% |
| Aetna | PEBTF Custom Network | $3.67 | ↓ -93% |
| Three Rivers Provider Network | All | $3.68 | ↓ -93% |
| United Healthcare | Medicare | $3.72 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicare | $3.76 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3.76 | ↓ -93% |
| Multiplan | Worker's Compensation | $3.80 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $3.93 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $3.93 | ↓ -92% |
| UPMC Health Plan | CHIP | $3.93 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.03 | ↓ -92% |
| Aetna | Commercial | $4.32 | ↓ -92% |
| Coventry/First Health | Commercial | $4.54 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $4.57 | ↓ -91% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4.77 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.02 | ↓ -90% |
| UPMC Health Plan | Commercial | $5.23 | ↓ -90% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $5.62 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $6.08 | ↓ -88% |
| Cigna | Commercial | $6.17 | ↓ -88% |
| United Healthcare | Commercial | $6.66 | ↓ -87% |
| Wirerope Works | Commercial | $6.67 | ↓ -87% |
| Aetna | First Health | $7.92 | ↓ -84% |
| Geisinger | Commercial | $8.04 | ↓ -84% |
| Coventry/First Health | FH-Medical Rental | $8.08 | ↓ -84% |
| Multiplan | Auto | $9.36 | ↓ -82% |
| Multiplan | PPO (Includes PHCS as a Payer) | $9.36 | ↓ -82% |
| America's Choice | PPO | $9.60 | ↓ -81% |
| InterGroup | PPO | $9.60 | ↓ -81% |
Visitor-reported prices
Comments
Dch validity tests at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $27.00 | $3.23 – $38.25 |
| UPMC Mercy | Pittsburgh | $33.60 | $2.90 – $50.40 |
| UPMC Muncy | Muncy | $51.00 | $3.44 – $68.00 |
| UPMC Northwest | Seneca | $18.60 | $3.16 – $26.35 |
| UPMC Presbyterian | Pittsburgh | $21.60 | $3.44 – $30.60 |
| UPMC Somerset | Somerset | $25.20 | $3.44 – $9.00 |
| UPMC St. Margaret | Pittsburgh | $70.80 | $3.00 – $100.30 |
| UPMC Wellsboro | Wellsboro | $62.20 | $2.65 – $13.28 |