healthcosts.net
Ins pq tunnld ip cath w/img at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$7,670.40
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.
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What you pay up front if you don't use insurance.
$12,784.00
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.
$993.28 with United Healthcare Community Plan for Families vs $10,227.20 with InterGroup — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $2,234.51 | ↓ -71% |
| Three Rivers Provider Network | All | $2,390.41 | ↓ -69% |
| Multiplan | Worker's Compensation | $2,468.36 | ↓ -68% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,397.51 | ↓ -56% |
| UPMC Health Plan | Managed Medicare | $3,431.83 | ↓ -55% |
| Aetna | Medicare | $3,465.48 | ↓ -55% |
| AmeriHealth Caritas | Medicare | $3,465.48 | ↓ -55% |
| United Healthcare | Medicare | $3,600.06 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,633.37 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,633.70 | ↓ -53% |
| Highmark BCBS of PA | Managed Care - Social Mission | $5,086.75 | ↓ -34% |
| Aetna | PEBTF Custom Network | $5,183.91 | ↓ -32% |
| UPMC Health Plan | Commercial | $5,573.82 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $5,990.58 | ↓ -22% |
| Aetna | Commercial | $6,097.97 | ↓ -20% |
| Coventry/First Health | Commercial | $6,404.78 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $7,031.20 | ↓ -8% |
| Wirerope Works | Commercial | $7,107.90 | ↓ -7% |
| Aetna | First Health | $8,437.44 | ↑ +10% |
| Geisinger | Commercial | $8,565.28 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $8,603.63 | ↑ +12% |
| United Healthcare | Commercial | $8,744.26 | ↑ +14% |
| Cigna | Commercial | $8,757.04 | ↑ +14% |
| Multiplan | Auto | $9,971.52 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $9,971.52 | ↑ +30% |
| America's Choice | PPO | $10,227.20 | ↑ +33% |
| InterGroup | PPO | $10,227.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Ins pq tunnld ip cath w/img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $14,346.00 | $2,234.51 – $20,323.50 |
| UPMC Mercy | Pittsburgh | $11,944.80 | $2,515.16 – $17,917.20 |
| UPMC Northwest | Seneca | $8,416.80 | $2,234.51 – $11,923.80 |
| UPMC Presbyterian | Pittsburgh | $11,676.60 | $931.20 – $16,541.85 |
| UPMC Somerset | Somerset | $11,758.20 | $892.40 – $14,697.75 |
| UPMC St. Margaret | Pittsburgh | $8,686.20 | $2,234.51 – $12,305.45 |