healthcosts.net
Laryngoscopy direct w/wo tracheoscopy dx exc newborn at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$4,228.80
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.
$7,048.00
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.
$129.80 with UPMC Health Plan vs $5,638.40 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $129.80 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $129.80 | ↓ -97% |
| UPMC Health Plan | CHIP | $129.80 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $133.04 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $165.79 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $201.10 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $488.44 | ↓ -88% |
| Three Rivers Provider Network | All | $522.51 | ↓ -88% |
| Multiplan | Worker's Compensation | $539.55 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $954.88 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,660.19 | ↓ -61% |
| UPMC Health Plan | Managed Medicare | $1,676.96 | ↓ -60% |
| AmeriHealth Caritas | Medicare | $1,693.40 | ↓ -60% |
| Aetna | Medicare | $1,693.40 | ↓ -60% |
| United Healthcare | Medicare | $1,759.17 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,775.44 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,775.61 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,804.40 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,857.96 | ↓ -32% |
| UPMC Health Plan | Commercial | $3,072.93 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,302.69 | ↓ -22% |
| Aetna | Commercial | $3,361.90 | ↓ -20% |
| Coventry/First Health | Commercial | $3,531.05 | ↓ -16% |
| Wirerope Works | Commercial | $3,918.69 | ↓ -7% |
| Aetna | First Health | $4,651.68 | ↑ +10% |
| Geisinger | Commercial | $4,722.16 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $4,743.30 | ↑ +12% |
| United Healthcare | Commercial | $4,820.83 | ↑ +14% |
| Cigna | Commercial | $4,827.88 | ↑ +14% |
| Multiplan | Auto | $5,497.44 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,497.44 | ↑ +30% |
| America's Choice | PPO | $5,638.40 | ↑ +33% |
| InterGroup | PPO | $5,638.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Laryngoscopy direct w/wo tracheoscopy dx exc newborn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,632.20 | $129.80 – $3,728.95 |
| UPMC Mercy | Pittsburgh | $2,131.80 | $129.80 – $3,197.70 |
| UPMC Muncy | Muncy | $4,228.80 | $129.80 – $5,638.40 |
| UPMC Presbyterian | Pittsburgh | $3,594.00 | $129.80 – $5,091.50 |
| UPMC Somerset | Somerset | $2,514.60 | $129.80 – $3,143.25 |
| UPMC Wellsboro | Wellsboro | $5,113.60 | $129.80 – $5,752.80 |