Foam drg >16<=48 sq in without b at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$21.60
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.
$36.00
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.
$9.72 with Aetna vs $50.70 with Multiplan — 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 | $9.72 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $14.32 | ↓ -34% |
| Aetna | PEBTF Custom Network | $14.60 | ↓ -32% |
| UPMC Health Plan | Commercial | $15.70 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $16.87 | ↓ -22% |
| Aetna | Commercial | $17.17 | ↓ -21% |
| Coventry/First Health | Commercial | $18.04 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $19.80 | ↓ -8% |
| Wirerope Works | Commercial | $20.02 | ↓ -7% |
| United Healthcare Community Plan for Families | PA Medicaid | $22.96 | ↑ +6% |
| Aetna | First Health | $23.76 | ↑ +10% |
| Geisinger | Commercial | $24.12 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $24.23 | ↑ +12% |
| United Healthcare | Commercial | $24.62 | ↑ +14% |
| Cigna | Commercial | $24.66 | ↑ +14% |
| Multiplan | Auto | $28.08 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $28.08 | ↑ +30% |
| InterGroup | PPO | $28.80 | ↑ +33% |
| America's Choice | PPO | $28.80 | ↑ +33% |
| Three Rivers Provider Network | All | $32.40 | ↑ +50% |
| UPMC Work Partners | Workers Comp | $45.90 | ↑ +113% |
| Multiplan | Worker's Compensation | $50.70 | ↑ +135% |
Visitor-reported prices
Comments
Foam drg >16<=48 sq in without b at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $14.40 | $6.00 – $111.44 |
| UPMC Hamot | Erie | $15.00 | $35.32 – $45.90 |
| UPMC Mercy | Pittsburgh | $171.60 | $35.32 – $88.00 |
| UPMC Passavant-McCandless | Pittsburgh | $21.60 | $35.65 – $161.71 |
| UPMC Presbyterian | Pittsburgh | $102.00 | $21.53 – $180.18 |