healthcosts.net
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,020.00
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.
$1,700.00
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.
$98.12 with UPMC Health Plan vs $1,360.00 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 | $98.12 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $98.12 | ↓ -90% |
| UPMC Health Plan | CHIP | $98.12 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $100.57 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $125.33 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $152.01 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $318.15 | ↓ -69% |
| Three Rivers Provider Network | All | $340.34 | ↓ -67% |
| Multiplan | Worker's Compensation | $351.44 | ↓ -66% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $666.70 | ↓ -35% |
| UPMC Health Plan | Managed Medicare | $673.43 | ↓ -34% |
| Highmark BCBS of PA | Managed Care - Social Mission | $676.43 | ↓ -34% |
| AmeriHealth Caritas | Medicare | $680.04 | ↓ -33% |
| Aetna | Medicare | $680.04 | ↓ -33% |
| Aetna | PEBTF Custom Network | $689.35 | ↓ -32% |
| United Healthcare | Medicare | $706.45 | ↓ -31% |
| Highmark Wholecare (prev Gateway) | Medicare | $712.98 | ↓ -30% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $713.05 | ↓ -30% |
| UPMC Health Plan | Commercial | $741.20 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $796.62 | ↓ -22% |
| Aetna | Commercial | $810.90 | ↓ -21% |
| Coventry/First Health | Commercial | $851.70 | ↓ -17% |
| Wirerope Works | Commercial | $945.20 | ↓ -7% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -3% |
| Aetna | First Health | $1,122.00 | ↑ +10% |
| Geisinger | Commercial | $1,139.00 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,144.10 | ↑ +12% |
| United Healthcare | Commercial | $1,162.80 | ↑ +14% |
| Cigna | Commercial | $1,164.50 | ↑ +14% |
| Multiplan | Auto | $1,326.00 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,326.00 | ↑ +30% |
| America's Choice | PPO | $1,360.00 | ↑ +33% |
| InterGroup | PPO | $1,360.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,939.20 | $98.12 – $2,747.20 |
| UPMC Mercy | Pittsburgh | $2,164.80 | $98.12 – $3,247.20 |
| UPMC Northwest | Seneca | $4,189.80 | $98.12 – $5,935.55 |
| UPMC Presbyterian | Pittsburgh | $3,898.80 | $98.12 – $5,523.30 |
| UPMC Somerset | Somerset | $2,048.40 | $98.12 – $2,560.50 |
| UPMC St. Margaret | Pittsburgh | $3,899.40 | $98.12 – $5,524.15 |