healthcosts.net
Intro cath dialysis circuit w/stent plcmnt at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,122.40
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.
$5,204.00
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.
$267.53 with UPMC Health Plan vs $11,676.82 with PA Health & Wellness — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $267.53 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $267.53 | ↓ -91% |
| UPMC Health Plan | CHIP | $267.53 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $274.22 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $341.71 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $414.48 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -68% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,070.67 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,110.22 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,268.94 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,438.59 | ↓ -22% |
| Aetna | Commercial | $2,482.31 | ↓ -20% |
| Coventry/First Health | Commercial | $2,607.20 | ↓ -17% |
| Wirerope Works | Commercial | $2,893.42 | ↓ -7% |
| Aetna | First Health | $3,434.64 | ↑ +10% |
| Geisinger | Commercial | $3,486.68 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $3,502.29 | ↑ +12% |
| United Healthcare | Commercial | $3,559.54 | ↑ +14% |
| Cigna | Commercial | $3,564.74 | ↑ +14% |
| Multiplan | Auto | $4,059.12 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,059.12 | ↑ +30% |
| America's Choice | PPO | $4,163.20 | ↑ +33% |
| InterGroup | PPO | $4,163.20 | ↑ +33% |
| Three Rivers Provider Network | All | $4,683.60 | ↑ +50% |
| UPMC Work Partners | Workers Comp | $6,975.66 | ↑ +123% |
| Multiplan | Worker's Compensation | $7,705.67 | ↑ +147% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10,917.83 | ↑ +250% |
| UPMC Health Plan | Managed Medicare | $11,028.11 | ↑ +253% |
| AmeriHealth Caritas | Medicare | $11,136.23 | ↑ +257% |
| Aetna | Medicare | $11,136.23 | ↑ +257% |
| United Healthcare | Medicare | $11,568.70 | ↑ +271% |
| Highmark Wholecare (prev Gateway) | Medicare | $11,675.74 | ↑ +274% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11,676.82 | ↑ +274% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Intro cath dialysis circuit w/stent plcmnt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,612.80 | $267.53 – $11,893.06 |
| UPMC Mercy | Pittsburgh | $3,652.20 | $267.53 – $11,352.46 |
| UPMC Presbyterian | Pittsburgh | $14,043.00 | $267.53 – $19,894.25 |
| UPMC Somerset | Somerset | $25,053.60 | $267.53 – $31,317.00 |
| UPMC St. Margaret | Pittsburgh | $3,121.20 | $267.53 – $11,352.46 |