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Kit cath ivl 2.5x40mm 135cm shockwave s4 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$10,797.00
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.
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What you pay up front if you don't use insurance.
$17,995.00
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.
$4,858.65 with Aetna vs $16,195.50 with Three Rivers Provider Network — 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 |
|---|---|---|---|
| Aetna | Medicare | $4,858.65 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $7,160.21 | ↓ -34% |
| Aetna | PEBTF Custom Network | $7,296.97 | ↓ -32% |
| UPMC Health Plan | Commercial | $7,845.82 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $8,432.46 | ↓ -22% |
| Aetna | Commercial | $8,583.61 | ↓ -21% |
| Coventry/First Health | Commercial | $9,015.50 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $9,897.25 | ↓ -8% |
| Wirerope Works | Commercial | $10,005.22 | ↓ -7% |
| Aetna | First Health | $11,876.70 | ↑ +10% |
| Geisinger | Commercial | $12,056.65 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $12,110.64 | ↑ +12% |
| United Healthcare | Commercial | $12,308.58 | ↑ +14% |
| Cigna | Commercial | $12,326.58 | ↑ +14% |
| Multiplan | Auto | $14,036.10 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $14,036.10 | ↑ +30% |
| America's Choice | PPO | $14,396.00 | ↑ +33% |
| InterGroup | PPO | $14,396.00 | ↑ +33% |
| Three Rivers Provider Network | All | $16,195.50 | ↑ +50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
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Kit cath ivl 2.5x40mm 135cm shockwave s4 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $10,076.40 | $4,198.50 – $15,114.60 |
| UPMC Passavant-McCandless | Pittsburgh | $12,000.60 | $5,000.25 – $17,000.85 |
| UPMC Presbyterian | Pittsburgh | $15,094.80 | $2,791.08 – $13,180.10 |
| UPMC St. Margaret | Pittsburgh | $8,967.60 | $2,742.75 – $9,325.35 |