healthcosts.net
Dx bronchoscope/brush 31623 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$5,050.20
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.
$8,417.00
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.
$148.66 with UPMC Health Plan vs $6,733.60 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $148.66 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $148.66 | ↓ -97% |
| UPMC Health Plan | CHIP | $148.66 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $152.38 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $189.89 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $230.32 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $488.17 | ↓ -90% |
| Three Rivers Provider Network | All | $522.23 | ↓ -90% |
| Multiplan | Worker's Compensation | $539.26 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,660.19 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $1,676.96 | ↓ -67% |
| AmeriHealth Caritas | Medicare | $1,693.40 | ↓ -66% |
| Aetna | Medicare | $1,693.40 | ↓ -66% |
| United Healthcare | Medicare | $1,759.17 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,775.44 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,775.61 | ↓ -65% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,349.12 | ↓ -34% |
| Aetna | PEBTF Custom Network | $3,413.09 | ↓ -32% |
| UPMC Health Plan | Commercial | $3,669.81 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,944.21 | ↓ -22% |
| Aetna | Commercial | $4,014.91 | ↓ -20% |
| Coventry/First Health | Commercial | $4,216.92 | ↓ -16% |
| Wirerope Works | Commercial | $4,679.85 | ↓ -7% |
| Aetna | First Health | $5,555.22 | ↑ +10% |
| Geisinger | Commercial | $5,639.39 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $5,664.64 | ↑ +12% |
| United Healthcare | Commercial | $5,757.23 | ↑ +14% |
| Cigna | Commercial | $5,765.65 | ↑ +14% |
| Multiplan | Auto | $6,565.26 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,565.26 | ↑ +30% |
| America's Choice | PPO | $6,733.60 | ↑ +33% |
| InterGroup | PPO | $6,733.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Dx bronchoscope/brush 31623 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,040.00 | $148.66 – $2,890.00 |
| UPMC Mercy | Pittsburgh | $1,967.40 | $148.66 – $2,951.10 |
| UPMC Presbyterian | Pittsburgh | $6,982.20 | $148.66 – $9,891.45 |
| UPMC Somerset | Somerset | $2,168.40 | $148.66 – $2,710.50 |
| UPMC Northwest | Seneca | not published | $148.66 – $1,726.28 |