healthcosts.net
Ins/rpl pm gen exist dual lead at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,922.80
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.
$6,538.00
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.
$993.28 with United Healthcare Community Plan for Families vs $10,775.64 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -75% |
| UPMC Work Partners | Workers Comp | $1,212.63 | ↓ -69% |
| Three Rivers Provider Network | All | $1,297.24 | ↓ -67% |
| Multiplan | Worker's Compensation | $1,339.54 | ↓ -66% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,601.47 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,651.16 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,850.57 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,063.71 | ↓ -22% |
| Aetna | Commercial | $3,118.63 | ↓ -20% |
| Coventry/First Health | Commercial | $3,275.54 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $3,595.90 | ↓ -8% |
| Wirerope Works | Commercial | $3,635.13 | ↓ -7% |
| Aetna | First Health | $4,315.08 | ↑ +10% |
| Geisinger | Commercial | $4,380.46 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $4,400.07 | ↑ +12% |
| United Healthcare | Commercial | $4,471.99 | ↑ +14% |
| Cigna | Commercial | $4,478.53 | ↑ +14% |
| Multiplan | Auto | $5,099.64 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,099.64 | ↑ +30% |
| America's Choice | PPO | $5,230.40 | ↑ +33% |
| InterGroup | PPO | $5,230.40 | ↑ +33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10,075.22 | ↑ +157% |
| UPMC Health Plan | Managed Medicare | $10,176.99 | ↑ +159% |
| Aetna | Medicare | $10,276.76 | ↑ +162% |
| AmeriHealth Caritas | Medicare | $10,276.76 | ↑ +162% |
| United Healthcare | Medicare | $10,675.86 | ↑ +172% |
| Highmark Wholecare (prev Gateway) | Medicare | $10,774.64 | ↑ +175% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $10,775.64 | ↑ +175% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $10,852.20 | $681.00 – $16,278.30 |
| UPMC Presbyterian | Pittsburgh | $18,634.20 | $931.20 – $26,398.45 |
| UPMC Somerset | Somerset | $15,540.60 | $892.40 – $19,425.75 |