healthcosts.net
Icd crtp serena MRI at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$15,633.60
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.
$26,056.00
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.
$5,211.20 with Highmark Wholecare (prev Gateway) vs $23,450.40 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 | $5,211.20 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,211.20 | ↓ -67% |
| Aetna | Medicare | $7,035.12 | ↓ -55% |
| PA Health & Wellness | PA Medicaid HMO | $8,598.48 | ↓ -45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10,367.68 | ↓ -34% |
| Aetna | PEBTF Custom Network | $10,565.71 | ↓ -32% |
| UPMC Health Plan | Commercial | $11,360.42 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $12,209.84 | ↓ -22% |
| Aetna | Commercial | $12,428.71 | ↓ -21% |
| Coventry/First Health | Commercial | $13,054.06 | ↓ -16% |
| Wirerope Works | Commercial | $14,487.14 | ↓ -7% |
| Aetna | First Health | $17,196.96 | ↑ +10% |
| Geisinger | Commercial | $17,457.52 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $17,535.69 | ↑ +12% |
| United Healthcare | Commercial | $17,822.30 | ↑ +14% |
| Cigna | Commercial | $17,848.36 | ↑ +14% |
| Multiplan | Auto | $20,323.68 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $20,323.68 | ↑ +30% |
| America's Choice | PPO | $20,844.80 | ↑ +33% |
| InterGroup | PPO | $20,844.80 | ↑ +33% |
| Three Rivers Provider Network | All | $23,450.40 | ↑ +50% |
| 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 crtp serena MRI at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $30,396.60 | $6,142.48 – $45,594.90 |
| UPMC Passavant-McCandless | Pittsburgh | $39,481.20 | $0.22 – $47,835.95 |
| UPMC Presbyterian | Pittsburgh | $38,925.00 | $0.12 – $53,298.09 |
| UPMC Somerset | Somerset | $24,360.60 | $6,080.35 – $30,450.75 |