healthcosts.net
Filter spider fx 3mmx320cm at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$5,677.80
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.
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What you pay up front if you don't use insurance.
$9,463.00
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.
$1,892.60 with Highmark Wholecare (prev Gateway) vs $8,516.70 with Three Rivers Provider Network — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $1,892.60 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,892.60 | ↓ -67% |
| Aetna | Medicare | $2,555.01 | ↓ -55% |
| PA Health & Wellness | PA Medicaid HMO | $3,122.79 | ↓ -45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,765.33 | ↓ -34% |
| Aetna | PEBTF Custom Network | $3,837.25 | ↓ -32% |
| UPMC Health Plan | Commercial | $4,125.87 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $4,434.36 | ↓ -22% |
| Aetna | Commercial | $4,513.85 | ↓ -21% |
| Coventry/First Health | Commercial | $4,740.96 | ↓ -17% |
| Wirerope Works | Commercial | $5,261.43 | ↓ -7% |
| Aetna | First Health | $6,245.58 | ↑ +10% |
| Geisinger | Commercial | $6,340.21 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $6,368.60 | ↑ +12% |
| United Healthcare | Commercial | $6,472.69 | ↑ +14% |
| Cigna | Commercial | $6,482.15 | ↑ +14% |
| Multiplan | Auto | $7,381.14 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $7,381.14 | ↑ +30% |
| America's Choice | PPO | $7,570.40 | ↑ +33% |
| InterGroup | PPO | $7,570.40 | ↑ +33% |
| Three Rivers Provider Network | All | $8,516.70 | ↑ +50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Filter spider fx 3mmx320cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $40,462.20 | $91.00 – $1,700.71 |
| UPMC Northwest | Seneca | $3,649.20 | $438.50 – $4,413.99 |
| UPMC Passavant-McCandless | Pittsburgh | $9,370.80 | $53.75 – $2,522.24 |
| UPMC Presbyterian | Pittsburgh | $53,950.20 | $76.68 – $3,787.61 |
| UPMC Somerset | Somerset | $6,785.40 | $1,041.08 – $8,481.75 |
| UPMC St. Margaret | Pittsburgh | $5,341.80 | $721.00 – $2,451.40 |