healthcosts.net
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$490.80
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.
$818.00
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.
$72.05 with UPMC Health Plan vs $724.45 with PA Health & Wellness — 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 | $72.05 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $72.05 | ↓ -85% |
| UPMC Health Plan | CHIP | $72.05 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $73.85 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $92.03 | ↓ -81% |
| PA Health & Wellness | PA Medicaid HMO | $111.63 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $259.01 | ↓ -47% |
| Three Rivers Provider Network | All | $277.09 | ↓ -44% |
| Multiplan | Worker's Compensation | $286.12 | ↓ -42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $325.48 | ↓ -34% |
| Aetna | PEBTF Custom Network | $331.70 | ↓ -32% |
| UPMC Health Plan | Commercial | $356.65 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $383.31 | ↓ -22% |
| Aetna | Commercial | $390.19 | ↓ -20% |
| Coventry/First Health | Commercial | $409.82 | ↓ -16% |
| Wirerope Works | Commercial | $454.81 | ↓ -7% |
| Aetna | First Health | $539.88 | ↑ +10% |
| Geisinger | Commercial | $548.06 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $550.51 | ↑ +12% |
| United Healthcare | Commercial | $559.51 | ↑ +14% |
| Cigna | Commercial | $560.33 | ↑ +14% |
| Multiplan | Auto | $638.04 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $638.04 | ↑ +30% |
| America's Choice | PPO | $654.40 | ↑ +33% |
| InterGroup | PPO | $654.40 | ↑ +33% |
| United Healthcare Community Plan for Families | PA Medicaid | $674.56 | ↑ +37% |
| 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 | ↑ +38% |
| UPMC Health Plan | Managed Medicare | $684.21 | ↑ +39% |
| AmeriHealth Caritas | Medicare | $690.91 | ↑ +41% |
| Aetna | Medicare | $690.91 | ↑ +41% |
| United Healthcare | Medicare | $717.75 | ↑ +46% |
| Highmark Wholecare (prev Gateway) | Medicare | $724.39 | ↑ +48% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $724.45 | ↑ +48% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,015.00 | $72.05 – $4,522.50 |
| UPMC Presbyterian | Pittsburgh | $3,265.20 | $72.05 – $4,625.70 |
| UPMC Somerset | Somerset | $2,184.60 | $72.05 – $2,730.75 |
| UPMC St. Margaret | Pittsburgh | $2,513.40 | $72.05 – $3,560.65 |
| UPMC Wellsboro | Wellsboro | not published | $72.05 – $674.56 |