healthcosts.net
Filter vena cava fem denali at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$4,242.60
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.
$7,071.00
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.
$1,054.62 with Aetna vs $3,515.40 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 |
|---|---|---|---|
| Aetna | Medicare | $1,054.62 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,281.40 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,281.40 | ↓ -70% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,554.20 | ↓ -63% |
| Aetna | PEBTF Custom Network | $1,583.88 | ↓ -63% |
| UPMC Health Plan | Commercial | $1,703.02 | ↓ -60% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,830.35 | ↓ -57% |
| Aetna | Commercial | $1,863.16 | ↓ -56% |
| Coventry/First Health | Commercial | $1,956.91 | ↓ -54% |
| PA Health & Wellness | PA Medicaid HMO | $2,114.31 | ↓ -50% |
| Wirerope Works | Commercial | $2,171.74 | ↓ -49% |
| Aetna | First Health | $2,577.96 | ↓ -39% |
| Geisinger | Commercial | $2,617.02 | ↓ -38% |
| Coventry/First Health | FH-Medical Rental | $2,628.74 | ↓ -38% |
| United Healthcare | Commercial | $2,671.70 | ↓ -37% |
| Cigna | Commercial | $2,675.61 | ↓ -37% |
| Multiplan | Auto | $3,046.68 | ↓ -28% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,046.68 | ↓ -28% |
| America's Choice | PPO | $3,124.80 | ↓ -26% |
| InterGroup | PPO | $3,124.80 | ↓ -26% |
| Three Rivers Provider Network | All | $3,515.40 | ↓ -17% |
| 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 vena cava fem denali at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7,182.60 | $911.78 – $5,124.60 |
| UPMC Northwest | Seneca | $5,991.00 | $1,345.25 – $6,268.74 |
| UPMC Passavant-McCandless | Pittsburgh | $6,039.00 | $894.08 – $7,517.40 |
| UPMC Presbyterian | Pittsburgh | $11,731.20 | $642.36 – $8,375.77 |
| UPMC Somerset | Somerset | $4,507.80 | $463.80 – $3,102.87 |
| UPMC St. Margaret | Pittsburgh | $5,179.20 | $750.20 – $6,356.71 |