healthcosts.net
Embo or occlude vascular hemorrhage s&i at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$6,596.40
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.
$10,994.00
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.
$625.66 with UPMC Health Plan vs $11,676.82 with PA Health & Wellness — 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 Health Plan | Managed Medicaid | $625.66 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $625.66 | ↓ -91% |
| UPMC Health Plan | CHIP | $625.66 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $641.30 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $799.14 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $969.31 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -85% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,374.51 | ↓ -34% |
| Aetna | PEBTF Custom Network | $4,458.07 | ↓ -32% |
| UPMC Health Plan | Commercial | $4,793.38 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $5,151.79 | ↓ -22% |
| Aetna | Commercial | $5,244.14 | ↓ -20% |
| Coventry/First Health | Commercial | $5,507.99 | ↓ -17% |
| Wirerope Works | Commercial | $6,112.66 | ↓ -7% |
| Aetna | First Health | $7,256.04 | ↑ +10% |
| Geisinger | Commercial | $7,365.98 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $7,398.96 | ↑ +12% |
| United Healthcare | Commercial | $7,519.90 | ↑ +14% |
| Cigna | Commercial | $7,530.89 | ↑ +14% |
| Multiplan | Auto | $8,575.32 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,575.32 | ↑ +30% |
| America's Choice | PPO | $8,795.20 | ↑ +33% |
| InterGroup | PPO | $8,795.20 | ↑ +33% |
| UPMC Work Partners | Workers Comp | $8,992.73 | ↑ +36% |
| Three Rivers Provider Network | All | $9,620.13 | ↑ +46% |
| Multiplan | Worker's Compensation | $9,933.83 | ↑ +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 | $10,917.83 | ↑ +66% |
| UPMC Health Plan | Managed Medicare | $11,028.11 | ↑ +67% |
| AmeriHealth Caritas | Medicare | $11,136.23 | ↑ +69% |
| Aetna | Medicare | $11,136.23 | ↑ +69% |
| United Healthcare | Medicare | $11,568.70 | ↑ +75% |
| Highmark Wholecare (prev Gateway) | Medicare | $11,675.74 | ↑ +77% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11,676.82 | ↑ +77% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Embo or occlude vascular hemorrhage s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $13,485.60 | $625.66 – $19,104.60 |
| UPMC Mercy | Pittsburgh | $12,721.80 | $625.66 – $19,082.70 |
| UPMC Presbyterian | Pittsburgh | $39,561.60 | $625.66 – $56,045.60 |
| UPMC Somerset | Somerset | $22,274.40 | $625.66 – $27,843.00 |
| UPMC St. Margaret | Pittsburgh | $12,721.80 | $625.66 – $18,022.55 |