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Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,233.60
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.
$2,056.00
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.
$101.03 with Highmark Wholecare (prev Gateway) vs $478.80 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 | $101.03 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicare | $106.40 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $111.13 | ↓ -91% |
| Aetna | Medicare | $143.64 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $175.56 | ↓ -86% |
| Highmark BCBS of PA | Managed Care - Social Mission | $211.68 | ↓ -83% |
| Aetna | PEBTF Custom Network | $215.73 | ↓ -83% |
| UPMC Health Plan | Commercial | $231.95 | ↓ -81% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $249.30 | ↓ -80% |
| Aetna | Commercial | $253.76 | ↓ -79% |
| Coventry/First Health | Commercial | $266.53 | ↓ -78% |
| Wirerope Works | Commercial | $295.79 | ↓ -76% |
| Aetna | First Health | $351.12 | ↓ -72% |
| Geisinger | Commercial | $356.44 | ↓ -71% |
| Coventry/First Health | FH-Medical Rental | $358.04 | ↓ -71% |
| United Healthcare | Commercial | $363.89 | ↓ -71% |
| Cigna | Commercial | $364.42 | ↓ -70% |
| Multiplan | Auto | $414.96 | ↓ -66% |
| Multiplan | PPO (Includes PHCS as a Payer) | $414.96 | ↓ -66% |
| America's Choice | PPO | $425.60 | ↓ -65% |
| InterGroup | PPO | $425.60 | ↓ -65% |
| Three Rivers Provider Network | All | $478.80 | ↓ -61% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $38,730.60 | $36.87 – $493.85 |
| UPMC Wellsboro | Wellsboro | $3,241.60 | $101.03 – $1,340.10 |