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Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$483.60
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.
$806.00
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.
$86.35 with UPMC Health Plan vs $966.40 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 Health Plan | Managed Medicaid | $86.35 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $86.35 | ↓ -82% |
| UPMC Health Plan | CHIP | $86.35 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $88.51 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $110.29 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $133.78 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $318.87 | ↓ -34% |
| Highmark BCBS of PA | Managed Care - Social Mission | $320.71 | ↓ -34% |
| Aetna | PEBTF Custom Network | $326.83 | ↓ -32% |
| Three Rivers Provider Network | All | $341.12 | ↓ -29% |
| UPMC Health Plan | Commercial | $351.42 | ↓ -27% |
| Multiplan | Worker's Compensation | $352.24 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $377.69 | ↓ -22% |
| Aetna | Commercial | $384.46 | ↓ -21% |
| Coventry/First Health | Commercial | $403.81 | ↓ -16% |
| Wirerope Works | Commercial | $448.14 | ↓ -7% |
| Aetna | First Health | $531.96 | ↑ +10% |
| Geisinger | Commercial | $540.02 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $542.44 | ↑ +12% |
| United Healthcare | Commercial | $551.30 | ↑ +14% |
| Cigna | Commercial | $552.11 | ↑ +14% |
| Multiplan | Auto | $628.68 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $628.68 | ↑ +30% |
| America's Choice | PPO | $644.80 | ↑ +33% |
| InterGroup | PPO | $644.80 | ↑ +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 | $677.36 | ↑ +40% |
| UPMC Health Plan | Managed Medicare | $684.21 | ↑ +41% |
| AmeriHealth Caritas | Medicare | $690.91 | ↑ +43% |
| Aetna | Medicare | $690.91 | ↑ +43% |
| United Healthcare | Medicare | $717.75 | ↑ +48% |
| Highmark Wholecare (prev Gateway) | Medicare | $724.39 | ↑ +50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $724.45 | ↑ +50% |
| United Healthcare Community Plan for Families | PA Medicaid | $966.40 | ↑ +100% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $255.60 | $86.35 – $737.87 |
| UPMC Mercy | Pittsburgh | $2,552.40 | $86.35 – $3,828.60 |
| UPMC Presbyterian | Pittsburgh | $3,393.60 | $86.35 – $4,807.60 |
| UPMC Somerset | Somerset | $2,184.60 | $86.35 – $2,730.75 |
| UPMC St. Margaret | Pittsburgh | $2,574.60 | $86.35 – $3,647.35 |
| UPMC Northwest | Seneca | not published | $86.35 – $704.33 |