healthcosts.net
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$6,004.80
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.
$10,008.00
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 $33,012.22 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 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $3,429.22 | ↓ -43% |
| Three Rivers Provider Network | All | $3,668.47 | ↓ -39% |
| Multiplan | Worker's Compensation | $3,788.10 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,982.18 | ↓ -34% |
| Aetna | PEBTF Custom Network | $4,058.24 | ↓ -32% |
| UPMC Health Plan | Commercial | $4,363.49 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $4,689.75 | ↓ -22% |
| Aetna | Commercial | $4,773.82 | ↓ -20% |
| Coventry/First Health | Commercial | $5,014.01 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $5,504.40 | ↓ -8% |
| Wirerope Works | Commercial | $5,564.45 | ↓ -7% |
| Aetna | First Health | $6,605.28 | ↑ +10% |
| Geisinger | Commercial | $6,705.36 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $6,735.38 | ↑ +12% |
| United Healthcare | Commercial | $6,845.47 | ↑ +14% |
| Cigna | Commercial | $6,855.48 | ↑ +14% |
| Multiplan | Auto | $7,806.24 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $7,806.24 | ↑ +30% |
| America's Choice | PPO | $8,006.40 | ↑ +33% |
| InterGroup | PPO | $8,006.40 | ↑ +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 | $30,866.43 | ↑ +414% |
| UPMC Health Plan | Managed Medicare | $31,178.21 | ↑ +419% |
| Aetna | Medicare | $31,483.88 | ↑ +424% |
| AmeriHealth Caritas | Medicare | $31,483.88 | ↑ +424% |
| United Healthcare | Medicare | $32,706.55 | ↑ +445% |
| Highmark Wholecare (prev Gateway) | Medicare | $33,009.16 | ↑ +450% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $33,012.22 | ↑ +450% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $67,256.40 | $1,602.70 – $95,279.90 |
| UPMC Mercy | Pittsburgh | $41,292.60 | $1,587.58 – $61,938.90 |
| UPMC Presbyterian | Pittsburgh | $70,716.00 | $931.20 – $100,181.00 |
| UPMC Somerset | Somerset | $48,933.60 | $892.40 – $61,167.00 |