Ghs layer closure 2.5 cm or less - 12031 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$825.60
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.
$1,376.00
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.
$26.95 with Geisinger vs $673.28 with United Healthcare Community Plan for Families — 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $26.95 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $26.95 | ↓ -97% |
| UPMC Health Plan | CHIP | $26.95 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.62 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $34.42 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $41.75 | ↓ -95% |
| Highmark BCBS of PA | Managed Care - Social Mission | $158.76 | ↓ -81% |
| Aetna | PEBTF Custom Network | $161.79 | ↓ -80% |
| UPMC Health Plan | Commercial | $173.96 | ↓ -79% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $186.97 | ↓ -77% |
| Aetna | Commercial | $190.32 | ↓ -77% |
| Coventry/First Health | Commercial | $199.90 | ↓ -76% |
| Wirerope Works | Commercial | $221.84 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $233.82 | ↓ -72% |
| Three Rivers Provider Network | All | $250.13 | ↓ -70% |
| Multiplan | Worker's Compensation | $258.29 | ↓ -69% |
| Aetna | First Health | $263.34 | ↓ -68% |
| Geisinger | Commercial | $267.33 | ↓ -68% |
| Coventry/First Health | FH-Medical Rental | $268.53 | ↓ -67% |
| United Healthcare | Commercial | $272.92 | ↓ -67% |
| Cigna | Commercial | $273.31 | ↓ -67% |
| Multiplan | PPO (Includes PHCS as a Payer) | $311.22 | ↓ -62% |
| Multiplan | Auto | $311.22 | ↓ -62% |
| America's Choice | PPO | $319.20 | ↓ -61% |
| InterGroup | PPO | $319.20 | ↓ -61% |
| Aetna | Medicare | $371.52 | ↓ -55% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $384.63 | ↓ -53% |
| UPMC Health Plan | Managed Medicare | $388.52 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $392.33 | ↓ -52% |
| United Healthcare | Medicare | $407.56 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $411.33 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $411.37 | ↓ -50% |
| United Healthcare Community Plan for Families | PA Medicaid | $673.28 | ↓ -18% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layer closure 2.5 cm or less - 12031 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $574.80 | $24.50 – $766.40 |
| UPMC Bedford | Everett | $289.20 | $25.73 – $433.80 |
| UPMC Carlisle | Carlisle | $520.80 | $31.11 – $737.80 |
| UPMC Cole | Coudersport | $745.20 | $25.73 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $520.80 | $31.11 – $737.80 |
| UPMC East | Monroeville | $543.60 | $26.95 – $724.80 |
| UPMC Hamot | Erie | $541.20 | $26.95 – $554.00 |
| UPMC Northwest | Seneca | $388.80 | $26.95 – $399.94 |