healthcosts.net
Graft impl ult thck 6x12cm -cost per sq cm at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$28,077.00
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.
$46,795.00
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.
$2,995.60 with Highmark Wholecare (prev Gateway) vs $13,480.20 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $2,995.60 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,995.60 | ↓ -89% |
| Aetna | Medicare | $4,044.06 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $4,942.74 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,959.75 | ↓ -79% |
| Aetna | PEBTF Custom Network | $6,073.58 | ↓ -78% |
| UPMC Health Plan | Commercial | $6,530.41 | ↓ -77% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $7,018.69 | ↓ -75% |
| Aetna | Commercial | $7,144.51 | ↓ -75% |
| Coventry/First Health | Commercial | $7,503.98 | ↓ -73% |
| Wirerope Works | Commercial | $8,327.77 | ↓ -70% |
| Aetna | First Health | $9,885.48 | ↓ -65% |
| Geisinger | Commercial | $10,035.26 | ↓ -64% |
| Coventry/First Health | FH-Medical Rental | $10,080.19 | ↓ -64% |
| United Healthcare | Commercial | $10,244.95 | ↓ -64% |
| Cigna | Commercial | $10,259.93 | ↓ -63% |
| Multiplan | Auto | $11,682.84 | ↓ -58% |
| Multiplan | PPO (Includes PHCS as a Payer) | $11,682.84 | ↓ -58% |
| America's Choice | PPO | $11,982.40 | ↓ -57% |
| InterGroup | PPO | $11,982.40 | ↓ -57% |
| Three Rivers Provider Network | All | $13,480.20 | ↓ -52% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Graft impl ult thck 6x12cm -cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $27,538.20 | $56.47 – $601.20 |
| UPMC Muncy | Muncy | $13,093.20 | $1,689.60 – $10,137.60 |
| UPMC Passavant-McCandless | Pittsburgh | $28,358.40 | $60.78 – $1,751.00 |
| UPMC Presbyterian | Pittsburgh | $37,447.20 | $60.78 – $754.80 |
| UPMC Wellsboro | Wellsboro | $15,834.40 | $1,839.06 – $9,195.30 |