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Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$501.00
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.
$835.00
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.
$97.90 with UPMC Health Plan vs $1,668.28 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 | $97.90 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $97.90 | ↓ -80% |
| UPMC Health Plan | CHIP | $97.90 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $100.35 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $125.05 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $151.67 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $332.25 | ↓ -34% |
| Aetna | PEBTF Custom Network | $338.59 | ↓ -32% |
| UPMC Health Plan | Commercial | $364.06 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $391.28 | ↓ -22% |
| Aetna | Commercial | $398.30 | ↓ -20% |
| UPMC Work Partners | Workers Comp | $416.02 | ↓ -17% |
| Coventry/First Health | Commercial | $418.33 | ↓ -17% |
| Three Rivers Provider Network | All | $445.04 | ↓ -11% |
| Multiplan | Worker's Compensation | $459.55 | ↓ -8% |
| Wirerope Works | Commercial | $464.26 | ↓ -7% |
| Aetna | First Health | $551.10 | ↑ +10% |
| Geisinger | Commercial | $559.45 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $561.96 | ↑ +12% |
| United Healthcare | Commercial | $571.14 | ↑ +14% |
| Cigna | Commercial | $571.98 | ↑ +14% |
| Multiplan | Auto | $651.30 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $651.30 | ↑ +30% |
| America's Choice | PPO | $668.00 | ↑ +33% |
| InterGroup | PPO | $668.00 | ↑ +33% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,177.60 | ↑ +135% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,559.84 | ↑ +211% |
| UPMC Health Plan | Managed Medicare | $1,575.59 | ↑ +214% |
| AmeriHealth Caritas | Medicare | $1,591.04 | ↑ +218% |
| Aetna | Medicare | $1,591.04 | ↑ +218% |
| United Healthcare | Medicare | $1,652.83 | ↑ +230% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,668.12 | ↑ +233% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,668.28 | ↑ +233% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $3,393.60 | $97.90 – $4,807.60 |
| UPMC Somerset | Somerset | $2,184.60 | $97.90 – $2,730.75 |
| UPMC St. Margaret | Pittsburgh | $2,493.60 | $97.90 – $3,532.60 |
| UPMC Mercy | Pittsburgh | not published | $97.90 – $1,699.17 |