healthcosts.net
Ghs tx sp hip disloc abd splnt/trac wo at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$499.80
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.
$833.00
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.
$230.94 with Highmark BCBS of PA vs $993.28 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $230.94 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $233.27 | ↓ -53% |
| AmeriHealth Caritas | Medicare | $235.56 | ↓ -53% |
| Aetna | Medicare | $235.56 | ↓ -53% |
| UPMC Health Plan | Managed Medicaid | $241.78 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $241.78 | ↓ -52% |
| UPMC Health Plan | CHIP | $241.78 | ↓ -52% |
| United Healthcare | Medicare | $244.71 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $246.97 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $247.00 | ↓ -51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $247.82 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $308.82 | ↓ -38% |
| Highmark BCBS of PA | Managed Care - Social Mission | $331.45 | ↓ -34% |
| Aetna | PEBTF Custom Network | $337.78 | ↓ -32% |
| UPMC Health Plan | Commercial | $363.19 | ↓ -27% |
| PA Health & Wellness | PA Medicaid HMO | $374.58 | ↓ -25% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $390.34 | ↓ -22% |
| Aetna | Commercial | $397.34 | ↓ -21% |
| Coventry/First Health | Commercial | $417.33 | ↓ -17% |
| Wirerope Works | Commercial | $463.15 | ↓ -7% |
| Aetna | First Health | $549.78 | ↑ +10% |
| Geisinger | Commercial | $558.11 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $560.61 | ↑ +12% |
| United Healthcare | Commercial | $569.77 | ↑ +14% |
| Cigna | Commercial | $570.61 | ↑ +14% |
| Multiplan | Auto | $649.74 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $649.74 | ↑ +30% |
| America's Choice | PPO | $666.40 | ↑ +33% |
| InterGroup | PPO | $666.40 | ↑ +33% |
| Three Rivers Provider Network | All | $749.70 | ↑ +50% |
| UPMC Work Partners | Workers Comp | $843.94 | ↑ +69% |
| Multiplan | Worker's Compensation | $932.25 | ↑ +87% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↑ +99% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ghs tx sp hip disloc abd splnt/trac wo at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,010.80 | $190.64 – $4,516.20 |
| UPMC Muncy | Muncy | $499.80 | $124.95 – $993.28 |
| UPMC Presbyterian | Pittsburgh | $4,030.20 | $241.78 – $5,709.45 |
| UPMC Somerset | Somerset | $1,961.40 | $226.41 – $2,451.75 |
| UPMC St. Margaret | Pittsburgh | $3,033.00 | $197.46 – $4,296.75 |
| UPMC Wellsboro | Wellsboro | $604.00 | $135.90 – $993.28 |