healthcosts.net
Kidney img w/bldflw sgl without rx at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,552.20
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.
$2,587.00
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.
$88.32 with United Healthcare Community Plan for Families vs $2,069.60 with InterGroup — 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 | $88.32 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $124.75 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $124.75 | ↓ -92% |
| UPMC Health Plan | CHIP | $124.75 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $127.87 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $159.34 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $193.27 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $466.13 | ↓ -70% |
| Three Rivers Provider Network | All | $498.65 | ↓ -68% |
| Multiplan | Worker's Compensation | $514.91 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $518.21 | ↓ -67% |
| UPMC Health Plan | Managed Medicare | $523.44 | ↓ -66% |
| AmeriHealth Caritas | Medicare | $528.58 | ↓ -66% |
| Aetna | Medicare | $528.58 | ↓ -66% |
| United Healthcare | Medicare | $549.10 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicare | $554.18 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $554.23 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,029.37 | ↓ -34% |
| Aetna | PEBTF Custom Network | $1,049.03 | ↓ -32% |
| UPMC Health Plan | Commercial | $1,127.93 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,212.27 | ↓ -22% |
| Aetna | Commercial | $1,234.00 | ↓ -20% |
| Coventry/First Health | Commercial | $1,296.09 | ↓ -16% |
| Wirerope Works | Commercial | $1,438.37 | ↓ -7% |
| Aetna | First Health | $1,707.42 | ↑ +10% |
| Geisinger | Commercial | $1,733.29 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,741.05 | ↑ +12% |
| United Healthcare | Commercial | $1,769.51 | ↑ +14% |
| Cigna | Commercial | $1,772.10 | ↑ +14% |
| Multiplan | Auto | $2,017.86 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,017.86 | ↑ +30% |
| America's Choice | PPO | $2,069.60 | ↑ +33% |
| InterGroup | PPO | $2,069.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Kidney img w/bldflw sgl without rx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,903.20 | $124.75 – $2,696.20 |
| UPMC Mercy | Pittsburgh | $1,858.80 | $124.75 – $2,788.20 |
| UPMC Muncy | Muncy | $1,552.20 | $88.32 – $2,069.60 |
| UPMC Northwest | Seneca | $797.40 | $124.75 – $1,129.65 |
| UPMC Presbyterian | Pittsburgh | $2,901.00 | $82.80 – $4,109.75 |
| UPMC Somerset | Somerset | $1,574.40 | $79.35 – $466.13 |
| UPMC St. Margaret | Pittsburgh | $1,128.00 | $124.75 – $1,598.00 |
| UPMC Wellsboro | Wellsboro | $1,877.60 | $88.32 – $2,112.30 |