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Inj proc for lymphang at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$475.20
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.
$792.00
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.
$80.92 with Geisinger vs $993.28 with United Healthcare Community Plan for Families — 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $80.92 | ↓ -83% |
| UPMC Health Plan | CHIP | $80.92 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $80.92 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $82.94 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $103.35 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $125.36 | ↓ -74% |
| Aetna | Medicare | $213.84 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $315.14 | ↓ -34% |
| Aetna | PEBTF Custom Network | $321.16 | ↓ -32% |
| UPMC Health Plan | Commercial | $345.31 | ↓ -27% |
| UPMC Work Partners | Workers Comp | $361.54 | ↓ -24% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $371.13 | ↓ -22% |
| Aetna | Commercial | $377.78 | ↓ -21% |
| Three Rivers Provider Network | All | $386.77 | ↓ -19% |
| Coventry/First Health | Commercial | $396.79 | ↓ -17% |
| Multiplan | Worker's Compensation | $399.38 | ↓ -16% |
| Wirerope Works | Commercial | $440.35 | ↓ -7% |
| Aetna | First Health | $522.72 | ↑ +10% |
| Geisinger | Commercial | $530.64 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $533.02 | ↑ +12% |
| United Healthcare | Commercial | $541.73 | ↑ +14% |
| Cigna | Commercial | $542.52 | ↑ +14% |
| Multiplan | Auto | $617.76 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $617.76 | ↑ +30% |
| America's Choice | PPO | $633.60 | ↑ +33% |
| InterGroup | PPO | $633.60 | ↑ +33% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↑ +109% |
Visitor-reported prices
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Inj proc for lymphang at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,441.00 | $80.92 – $4,874.75 |
| UPMC Mercy | Pittsburgh | $2,552.40 | $80.92 – $3,828.60 |
| UPMC Presbyterian | Pittsburgh | $3,368.40 | $80.92 – $4,771.90 |
| UPMC Wellsboro | Wellsboro | $574.40 | $80.92 – $993.28 |