healthcosts.net
Diagnostic laryngoscopy 31575 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$256.80
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.
$428.00
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.
$75.90 with UPMC Health Plan vs $993.28 with United Healthcare Community Plan for Families — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $75.90 | ↓ -70% |
| Geisinger | Medicaid/CHIP | $75.90 | ↓ -70% |
| UPMC Health Plan | CHIP | $75.90 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $77.80 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $96.94 | ↓ -62% |
| PA Health & Wellness | PA Medicaid HMO | $117.59 | ↓ -54% |
| Highmark BCBS of PA | Managed Care - Social Mission | $170.30 | ↓ -34% |
| Aetna | PEBTF Custom Network | $173.55 | ↓ -32% |
| UPMC Health Plan | Commercial | $186.61 | ↓ -27% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $186.90 | ↓ -27% |
| UPMC Health Plan | Managed Medicare | $188.79 | ↓ -26% |
| AmeriHealth Caritas | Medicare | $190.64 | ↓ -26% |
| Aetna | Medicare | $190.64 | ↓ -26% |
| United Healthcare | Medicare | $198.05 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $199.88 | ↓ -22% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $199.90 | ↓ -22% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $200.56 | ↓ -22% |
| Aetna | Commercial | $204.16 | ↓ -20% |
| Coventry/First Health | Commercial | $214.43 | ↓ -16% |
| Wirerope Works | Commercial | $237.97 | ↓ -7% |
| Aetna | First Health | $282.48 | ↑ +10% |
| Geisinger | Commercial | $286.76 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $288.04 | ↑ +12% |
| United Healthcare | Commercial | $292.75 | ↑ +14% |
| Cigna | Commercial | $293.18 | ↑ +14% |
| UPMC Work Partners | Workers Comp | $321.79 | ↑ +25% |
| Multiplan | Auto | $333.84 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $333.84 | ↑ +30% |
| America's Choice | PPO | $342.40 | ↑ +33% |
| InterGroup | PPO | $342.40 | ↑ +33% |
| Three Rivers Provider Network | All | $344.25 | ↑ +34% |
| Multiplan | Worker's Compensation | $355.47 | ↑ +38% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↑ +287% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic laryngoscopy 31575 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $615.00 | $75.90 – $871.25 |
| UPMC Mercy | Pittsburgh | $1,651.80 | $75.90 – $2,477.70 |
| UPMC Muncy | Muncy | $256.80 | $64.20 – $993.28 |
| UPMC Northwest | Seneca | $1,199.40 | $75.90 – $1,699.15 |
| UPMC Presbyterian | Pittsburgh | $1,172.40 | $75.90 – $1,566.55 |
| UPMC Somerset | Somerset | $956.40 | $75.90 – $1,195.50 |
| UPMC St. Margaret | Pittsburgh | $677.40 | $75.90 – $959.65 |