healthcosts.net
Knee MRI (with contrast) at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,051.00
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.
$5,085.00
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.
$393.92 with United Healthcare Community Plan for Families vs $4,068.00 with InterGroup — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $393.92 | ↓ -87% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $760.61 | ↓ -75% |
| UPMC Health Plan | Managed Medicare | $768.29 | ↓ -75% |
| Aetna | Medicare | $775.83 | ↓ -75% |
| AmeriHealth Caritas | Medicare | $775.83 | ↓ -75% |
| United Healthcare | Medicare | $805.96 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $813.41 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $813.49 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $1,109.81 | ↓ -64% |
| Three Rivers Provider Network | All | $1,187.24 | ↓ -61% |
| Multiplan | Worker's Compensation | $1,225.96 | ↓ -60% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,023.32 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,061.97 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,217.06 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,382.83 | ↓ -22% |
| Aetna | Commercial | $2,425.55 | ↓ -20% |
| Coventry/First Health | Commercial | $2,547.59 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $2,796.75 | ↓ -8% |
| Wirerope Works | Commercial | $2,827.26 | ↓ -7% |
| Aetna | First Health | $3,356.10 | ↑ +10% |
| Geisinger | Commercial | $3,406.95 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $3,422.20 | ↑ +12% |
| United Healthcare | Commercial | $3,478.14 | ↑ +14% |
| Cigna | Commercial | $3,483.22 | ↑ +14% |
| Multiplan | Auto | $3,966.30 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,966.30 | ↑ +30% |
| America's Choice | PPO | $4,068.00 | ↑ +33% |
| InterGroup | PPO | $4,068.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $4,621.20 | $354.83 – $6,546.70 |
| UPMC East | Monroeville | $5,074.20 | $351.73 – $6,765.60 |
| UPMC Hamot | Erie | $1,948.80 | $201.09 – $2,273.60 |
| UPMC Jameson | New Castle | $3,019.80 | $327.85 – $4,178.24 |
| UPMC Carlisle | Carlisle | $2,713.80 | $403.15 – $3,844.55 |
| UPMC Bedford | Everett | $1,705.20 | $271.77 – $2,557.80 |
| UPMC Altoona | Altoona | $2,119.20 | $425.00 – $2,825.60 |
| UPMC Cole | Coudersport | $1,384.20 | $379.08 – $1,845.60 |