healthcosts.net
Incisn of toe tndn at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,520.40
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.
?
What you pay up front if you don't use insurance.
$2,534.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$144.10 with UPMC Health Plan vs $2,027.20 with InterGroup — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $144.10 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $144.10 | ↓ -91% |
| UPMC Health Plan | CHIP | $144.10 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $147.70 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $184.06 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $223.25 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $515.15 | ↓ -66% |
| Three Rivers Provider Network | All | $551.09 | ↓ -64% |
| Multiplan | Worker's Compensation | $569.06 | ↓ -63% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -35% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,008.28 | ↓ -34% |
| Aetna | PEBTF Custom Network | $1,027.54 | ↓ -32% |
| UPMC Health Plan | Commercial | $1,104.82 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,187.43 | ↓ -22% |
| Aetna | Commercial | $1,208.72 | ↓ -20% |
| Coventry/First Health | Commercial | $1,269.53 | ↓ -17% |
| Wirerope Works | Commercial | $1,408.90 | ↓ -7% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,540.75 | ↑ +1% |
| UPMC Health Plan | Managed Medicare | $1,556.32 | ↑ +2% |
| AmeriHealth Caritas | Medicare | $1,571.57 | ↑ +3% |
| Aetna | Medicare | $1,571.57 | ↑ +3% |
| United Healthcare | Medicare | $1,632.61 | ↑ +7% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,647.71 | ↑ +8% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,647.86 | ↑ +8% |
| Aetna | First Health | $1,672.44 | ↑ +10% |
| Geisinger | Commercial | $1,697.78 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,705.38 | ↑ +12% |
| United Healthcare | Commercial | $1,733.26 | ↑ +14% |
| Cigna | Commercial | $1,735.79 | ↑ +14% |
| Multiplan | Auto | $1,976.52 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,976.52 | ↑ +30% |
| America's Choice | PPO | $2,027.20 | ↑ +33% |
| InterGroup | PPO | $2,027.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Incisn of toe tndn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,815.00 | $144.10 – $2,571.25 |
| UPMC Mercy | Pittsburgh | $1,608.60 | $144.10 – $2,412.90 |
| UPMC Wellsboro | Wellsboro | $366.00 | $58.68 – $993.28 |