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Ear irrigation 69209 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$117.00
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.
$195.00
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.
$16.06 with UPMC Work Partners vs $993.28 with United Healthcare Community Plan for Families — 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 | $16.06 | ↓ -86% |
| Three Rivers Provider Network | All | $17.18 | ↓ -85% |
| Multiplan | Worker's Compensation | $17.74 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $29.05 | ↓ -75% |
| Aetna | PEBTF Custom Network | $29.60 | ↓ -75% |
| UPMC Health Plan | Commercial | $31.83 | ↓ -73% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $34.21 | ↓ -71% |
| Aetna | Commercial | $34.82 | ↓ -70% |
| Coventry/First Health | Commercial | $36.57 | ↓ -69% |
| PA Health & Wellness | PA Medicaid HMO | $40.15 | ↓ -66% |
| Wirerope Works | Commercial | $40.59 | ↓ -65% |
| Aetna | First Health | $48.18 | ↓ -59% |
| Geisinger | Commercial | $48.91 | ↓ -58% |
| Coventry/First Health | FH-Medical Rental | $49.13 | ↓ -58% |
| United Healthcare | Commercial | $49.93 | ↓ -57% |
| Cigna | Commercial | $50.01 | ↓ -57% |
| Aetna | Medicare | $52.65 | ↓ -55% |
| Multiplan | Auto | $56.94 | ↓ -51% |
| Multiplan | PPO (Includes PHCS as a Payer) | $56.94 | ↓ -51% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $57.18 | ↓ -51% |
| UPMC Health Plan | Managed Medicare | $57.76 | ↓ -51% |
| AmeriHealth Caritas | Medicare | $58.33 | ↓ -50% |
| America's Choice | PPO | $58.40 | ↓ -50% |
| InterGroup | PPO | $58.40 | ↓ -50% |
| United Healthcare | Medicare | $60.59 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $61.15 | ↓ -48% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.16 | ↓ -48% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↑ +749% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ear irrigation 69209 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $137.40 | $8.46 – $194.65 |
| UPMC Mercy | Pittsburgh | $168.00 | $8.38 – $252.00 |
| UPMC Muncy | Muncy | $117.00 | $16.06 – $993.28 |
| UPMC Northwest | Seneca | $79.80 | $16.06 – $113.05 |
| UPMC Presbyterian | Pittsburgh | $169.20 | $8.46 – $931.20 |
| UPMC Somerset | Somerset | $214.80 | $8.30 – $892.40 |
| UPMC St. Margaret | Pittsburgh | $149.40 | $8.46 – $211.65 |
| UPMC Wellsboro | Wellsboro | $117.00 | $1.80 – $993.28 |