healthcosts.net
Endocerv curettage w/scope 57456 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$218.40
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.
?
What you pay up front if you don't use insurance.
$364.00
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.
$104.51 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 | $104.51 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $104.51 | ↓ -52% |
| UPMC Health Plan | CHIP | $104.51 | ↓ -52% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $107.12 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicaid | $133.49 | ↓ -39% |
| Highmark BCBS of PA | Managed Care - Social Mission | $144.84 | ↓ -34% |
| Aetna | PEBTF Custom Network | $147.60 | ↓ -32% |
| UPMC Health Plan | Commercial | $158.70 | ↓ -27% |
| PA Health & Wellness | PA Medicaid HMO | $161.92 | ↓ -26% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $170.57 | ↓ -22% |
| Aetna | Commercial | $173.63 | ↓ -20% |
| Coventry/First Health | Commercial | $182.36 | ↓ -17% |
| Wirerope Works | Commercial | $202.38 | ↓ -7% |
| Aetna | First Health | $240.24 | ↑ +10% |
| Geisinger | Commercial | $243.88 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $244.97 | ↑ +12% |
| United Healthcare | Commercial | $248.98 | ↑ +14% |
| Cigna | Commercial | $249.34 | ↑ +14% |
| UPMC Work Partners | Workers Comp | $261.11 | ↑ +20% |
| Three Rivers Provider Network | All | $279.33 | ↑ +28% |
| Multiplan | Auto | $283.92 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $283.92 | ↑ +30% |
| Multiplan | Worker's Compensation | $288.44 | ↑ +32% |
| America's Choice | PPO | $291.20 | ↑ +33% |
| InterGroup | PPO | $291.20 | ↑ +33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $292.85 | ↑ +34% |
| UPMC Health Plan | Managed Medicare | $295.81 | ↑ +35% |
| AmeriHealth Caritas | Medicare | $298.71 | ↑ +37% |
| Aetna | Medicare | $298.71 | ↑ +37% |
| United Healthcare | Medicare | $310.31 | ↑ +42% |
| Highmark Wholecare (prev Gateway) | Medicare | $313.18 | ↑ +43% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $313.21 | ↑ +43% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↑ +355% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Endocerv curettage w/scope 57456 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $1,491.60 | $104.51 – $2,113.10 |
| UPMC Somerset | Somerset | $615.60 | $104.51 – $892.40 |
| UPMC Wellsboro | Wellsboro | $232.00 | $52.20 – $993.28 |