healthcosts.net
Ghs sleep study unattended at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$90.00
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.
$150.00
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.
$59.69 with Highmark BCBS of PA vs $334.88 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 |
|---|---|---|---|
| Highmark BCBS of PA | Managed Care - Social Mission | $59.69 | ↓ -34% |
| Aetna | PEBTF Custom Network | $60.83 | ↓ -32% |
| UPMC Health Plan | Commercial | $65.40 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $70.29 | ↓ -22% |
| Aetna | Commercial | $71.55 | ↓ -21% |
| Coventry/First Health | Commercial | $75.15 | ↓ -17% |
| Wirerope Works | Commercial | $83.40 | ↓ -7% |
| Aetna | First Health | $99.00 | ↑ +10% |
| Geisinger | Commercial | $100.50 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $100.95 | ↑ +12% |
| United Healthcare | Commercial | $102.60 | ↑ +14% |
| Cigna | Commercial | $102.75 | ↑ +14% |
| Multiplan | Auto | $117.00 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $117.00 | ↑ +30% |
| United Healthcare Community Plan for Families | PA Medicaid | $117.80 | ↑ +31% |
| America's Choice | PPO | $120.00 | ↑ +33% |
| InterGroup | PPO | $120.00 | ↑ +33% |
| Three Rivers Provider Network | All | $135.00 | ↑ +50% |
| UPMC Health Plan | Managed Medicaid | $137.07 | ↑ +52% |
| Geisinger | Medicaid/CHIP | $137.07 | ↑ +52% |
| UPMC Health Plan | CHIP | $137.07 | ↑ +52% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $140.50 | ↑ +56% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $150.63 | ↑ +67% |
| UPMC Health Plan | Managed Medicare | $152.15 | ↑ +69% |
| AmeriHealth Caritas | Medicare | $153.65 | ↑ +71% |
| Aetna | Medicare | $153.65 | ↑ +71% |
| United Healthcare | Medicare | $159.61 | ↑ +77% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.09 | ↑ +79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.10 | ↑ +79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $175.08 | ↑ +95% |
| PA Health & Wellness | PA Medicaid HMO | $212.36 | ↑ +136% |
| UPMC Work Partners | Workers Comp | $303.16 | ↑ +237% |
| Multiplan | Worker's Compensation | $334.88 | ↑ +272% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs sleep study unattended at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $90.00 | $41.85 – $337.65 |
| UPMC Passavant-McCandless | Pittsburgh | $1,719.00 | $51.00 – $303.16 |
| UPMC Presbyterian | Pittsburgh | $2,205.60 | $97.50 – $337.65 |
| UPMC St. Margaret | Pittsburgh | $1,768.20 | $37.80 – $303.16 |
| UPMC Wellsboro | Wellsboro | $752.80 | $117.80 – $846.90 |