healthcosts.net
Dexametha opth insert 0.1 mg at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$477.60
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.
$597.00
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.
$98.14 with United Healthcare Community Plan for Families vs $537.30 with Three Rivers Provider Network — 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 | $98.14 | ↓ -79% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $99.10 | ↓ -79% |
| UPMC Health Plan | Managed Medicare | $100.10 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $101.08 | ↓ -79% |
| Aetna | Medicare | $101.08 | ↓ -79% |
| PA Health & Wellness | PA Medicaid HMO | $102.94 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $102.94 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $102.94 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $102.94 | ↓ -78% |
| United Healthcare | Medicare | $105.01 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicare | $105.87 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $105.99 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $113.23 | ↓ -76% |
| UPMC Health Plan | CHIP | $113.23 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $161.91 | ↓ -66% |
| Multiplan | Worker's Compensation | $178.86 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $237.55 | ↓ -50% |
| Aetna | PEBTF Custom Network | $242.08 | ↓ -49% |
| UPMC Health Plan | Commercial | $260.29 | ↓ -46% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $279.75 | ↓ -41% |
| Aetna | Commercial | $284.77 | ↓ -40% |
| Coventry/First Health | Commercial | $299.10 | ↓ -37% |
| Wirerope Works | Commercial | $331.93 | ↓ -31% |
| Aetna | First Health | $394.02 | ↓ -18% |
| Geisinger | Commercial | $399.99 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $401.78 | ↓ -16% |
| United Healthcare | Commercial | $408.35 | ↓ -14% |
| Cigna | Commercial | $408.94 | ↓ -14% |
| Multiplan | Auto | $465.66 | ↓ -3% |
| Multiplan | PPO (Includes PHCS as a Payer) | $465.66 | ↓ -3% |
| America's Choice | PPO | $477.60 | ↑ +0% |
| InterGroup | PPO | $477.60 | ↑ +0% |
| Three Rivers Provider Network | All | $537.30 | ↑ +13% |
Visitor-reported prices
Comments
Dexametha opth insert 0.1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,430.40 | $64.99 – $568.80 |
| UPMC Muncy | Muncy | $1,432.80 | $89.55 – $537.30 |
| UPMC Northwest | Seneca | $505.60 | $64.99 – $537.20 |
| UPMC Passavant-McCandless | Pittsburgh | $1,430.40 | $64.99 – $568.65 |
| UPMC Presbyterian | Pittsburgh | $2,022.60 | $64.99 – $716.55 |
| UPMC Somerset | Somerset | $354.00 | $85.10 – $442.50 |
| UPMC St. Margaret | Pittsburgh | $505.60 | $64.99 – $537.20 |
| UPMC Wellsboro | Wellsboro | $1,432.80 | $102.94 – $537.30 |