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Icd crtd cobalt hf MRI is1 df1 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$64,147.20
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.
$106,912.00
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.
$9,211.20 with Highmark Wholecare (prev Gateway) vs $41,450.40 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 | $9,211.20 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $9,211.20 | ↓ -86% |
| Aetna | Medicare | $12,435.12 | ↓ -81% |
| PA Health & Wellness | PA Medicaid HMO | $15,198.48 | ↓ -76% |
| Highmark BCBS of PA | Managed Care - Social Mission | $18,325.68 | ↓ -71% |
| Aetna | PEBTF Custom Network | $18,675.71 | ↓ -71% |
| UPMC Health Plan | Commercial | $20,080.42 | ↓ -69% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $21,581.84 | ↓ -66% |
| Aetna | Commercial | $21,968.71 | ↓ -66% |
| Coventry/First Health | Commercial | $23,074.06 | ↓ -64% |
| Wirerope Works | Commercial | $25,607.14 | ↓ -60% |
| Aetna | First Health | $30,396.96 | ↓ -53% |
| Geisinger | Commercial | $30,857.52 | ↓ -52% |
| Coventry/First Health | FH-Medical Rental | $30,995.69 | ↓ -52% |
| United Healthcare | Commercial | $31,502.30 | ↓ -51% |
| Cigna | Commercial | $31,548.36 | ↓ -51% |
| Multiplan | Auto | $35,923.68 | ↓ -44% |
| Multiplan | PPO (Includes PHCS as a Payer) | $35,923.68 | ↓ -44% |
| America's Choice | PPO | $36,844.80 | ↓ -43% |
| InterGroup | PPO | $36,844.80 | ↓ -43% |
| Three Rivers Provider Network | All | $41,450.40 | ↓ -35% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Icd crtd cobalt hf MRI is1 df1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $60,282.00 | $10,351.20 – $70,752.35 |
| UPMC Northwest | Seneca | $40,346.40 | $16,811.00 – $108,424.54 |
| UPMC Passavant-McCandless | Pittsburgh | $54,276.00 | $0.22 – $130,021.45 |
| UPMC Presbyterian | Pittsburgh | $146,978.40 | $0.12 – $144,867.92 |
| UPMC Somerset | Somerset | $45,067.20 | $15,022.40 – $56,334.00 |