healthcosts.net
Insertion single tranvenous electrode/ppm/implantable defibrillator at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$5,097.00
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.
$8,495.00
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.
$392.35 with UPMC Health Plan vs $8,521.36 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 | $392.35 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $392.35 | ↓ -92% |
| UPMC Health Plan | CHIP | $392.35 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $402.16 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $501.14 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $607.85 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $1,036.36 | ↓ -80% |
| Three Rivers Provider Network | All | $1,108.66 | ↓ -78% |
| Multiplan | Worker's Compensation | $1,144.82 | ↓ -78% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,380.16 | ↓ -34% |
| Aetna | PEBTF Custom Network | $3,444.72 | ↓ -32% |
| UPMC Health Plan | Commercial | $3,703.82 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,980.76 | ↓ -22% |
| Aetna | Commercial | $4,052.11 | ↓ -21% |
| Coventry/First Health | Commercial | $4,255.99 | ↓ -17% |
| Wirerope Works | Commercial | $4,723.22 | ↓ -7% |
| Aetna | First Health | $5,606.70 | ↑ +10% |
| Geisinger | Commercial | $5,691.65 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $5,717.14 | ↑ +12% |
| United Healthcare | Commercial | $5,810.58 | ↑ +14% |
| Cigna | Commercial | $5,819.07 | ↑ +14% |
| Multiplan | Auto | $6,626.10 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,626.10 | ↑ +30% |
| America's Choice | PPO | $6,796.00 | ↑ +33% |
| InterGroup | PPO | $6,796.00 | ↑ +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 | $7,967.47 | ↑ +56% |
| UPMC Health Plan | Managed Medicare | $8,047.95 | ↑ +58% |
| AmeriHealth Caritas | Medicare | $8,126.85 | ↑ +59% |
| Aetna | Medicare | $8,126.85 | ↑ +59% |
| United Healthcare | Medicare | $8,442.46 | ↑ +66% |
| Highmark Wholecare (prev Gateway) | Medicare | $8,520.57 | ↑ +67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8,521.36 | ↑ +67% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $9,282.00 | $392.35 – $13,149.50 |
| UPMC Mercy | Pittsburgh | $7,267.20 | $392.35 – $10,900.80 |
| UPMC Presbyterian | Pittsburgh | $9,305.40 | $392.35 – $13,182.65 |
| UPMC Somerset | Somerset | $11,583.60 | $392.35 – $14,479.50 |