healthcosts.net
Exc les/mucos/sub/ves mouth/no rpr 40810 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,965.60
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.
$3,276.00
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.
$59.95 with UPMC Health Plan vs $3,339.23 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 | $59.95 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $59.95 | ↓ -97% |
| UPMC Health Plan | CHIP | $59.95 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $61.45 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $76.57 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $92.88 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $287.20 | ↓ -85% |
| Three Rivers Provider Network | All | $307.23 | ↓ -84% |
| Multiplan | Worker's Compensation | $317.25 | ↓ -84% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -49% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,303.52 | ↓ -34% |
| Aetna | PEBTF Custom Network | $1,328.42 | ↓ -32% |
| UPMC Health Plan | Commercial | $1,428.34 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,535.13 | ↓ -22% |
| Aetna | Commercial | $1,562.65 | ↓ -21% |
| Coventry/First Health | Commercial | $1,641.28 | ↓ -16% |
| Wirerope Works | Commercial | $1,821.46 | ↓ -7% |
| Aetna | First Health | $2,162.16 | ↑ +10% |
| Geisinger | Commercial | $2,194.92 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $2,204.75 | ↑ +12% |
| United Healthcare | Commercial | $2,240.78 | ↑ +14% |
| Cigna | Commercial | $2,244.06 | ↑ +14% |
| Multiplan | Auto | $2,555.28 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,555.28 | ↑ +30% |
| America's Choice | PPO | $2,620.80 | ↑ +33% |
| InterGroup | PPO | $2,620.80 | ↑ +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 | $3,122.18 | ↑ +59% |
| UPMC Health Plan | Managed Medicare | $3,153.72 | ↑ +60% |
| AmeriHealth Caritas | Medicare | $3,184.64 | ↑ +62% |
| Aetna | Medicare | $3,184.64 | ↑ +62% |
| United Healthcare | Medicare | $3,308.31 | ↑ +68% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,338.92 | ↑ +70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,339.23 | ↑ +70% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |