healthcosts.net
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$825.60
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.
?
What you pay up front if you don't use insurance.
$1,376.00
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.
$34.17 with UPMC Health Plan vs $303.94 with PA Health & Wellness — 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 | $34.17 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $34.17 | ↓ -96% |
| UPMC Health Plan | CHIP | $34.17 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $35.02 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $39.76 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $43.64 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $52.93 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $116.19 | ↓ -86% |
| Three Rivers Provider Network | All | $124.29 | ↓ -85% |
| Multiplan | Worker's Compensation | $128.34 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $139.66 | ↓ -83% |
| Aetna | PEBTF Custom Network | $142.33 | ↓ -83% |
| UPMC Health Plan | Commercial | $153.04 | ↓ -81% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $164.48 | ↓ -80% |
| Aetna | Commercial | $167.43 | ↓ -80% |
| Coventry/First Health | Commercial | $175.85 | ↓ -79% |
| Wirerope Works | Commercial | $195.16 | ↓ -76% |
| Aetna | First Health | $231.66 | ↓ -72% |
| Geisinger | Commercial | $235.17 | ↓ -72% |
| Coventry/First Health | FH-Medical Rental | $236.22 | ↓ -71% |
| United Healthcare | Commercial | $240.08 | ↓ -71% |
| Cigna | Commercial | $240.44 | ↓ -71% |
| Multiplan | Auto | $273.78 | ↓ -67% |
| Multiplan | PPO (Includes PHCS as a Payer) | $273.78 | ↓ -67% |
| America's Choice | PPO | $280.80 | ↓ -66% |
| InterGroup | PPO | $280.80 | ↓ -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 | $284.19 | ↓ -66% |
| UPMC Health Plan | Managed Medicare | $287.06 | ↓ -65% |
| AmeriHealth Caritas | Medicare | $289.87 | ↓ -65% |
| Aetna | Medicare | $289.87 | ↓ -65% |
| United Healthcare | Medicare | $301.13 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicare | $303.92 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $303.94 | ↓ -63% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $595.80 | $34.17 – $844.05 |
| UPMC Mercy | Pittsburgh | $403.20 | $34.17 – $604.80 |
| UPMC Muncy | Muncy | $825.60 | $34.17 – $1,100.80 |
| UPMC Northwest | Seneca | $571.20 | $34.17 – $809.20 |
| UPMC Presbyterian | Pittsburgh | $593.40 | $34.17 – $840.65 |
| UPMC Somerset | Somerset | $396.60 | $34.17 – $495.75 |
| UPMC St. Margaret | Pittsburgh | $580.20 | $34.17 – $821.95 |
| UPMC Wellsboro | Wellsboro | $998.40 | $20.16 – $116.19 |