healthcosts.net
Lead acuity x4 spiral l 86cm at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$4,649.40
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.
$7,749.00
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.
$1,549.80 with Highmark Wholecare (prev Gateway) vs $6,974.10 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $1,549.80 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,549.80 | ↓ -67% |
| Aetna | Medicare | $2,092.23 | ↓ -55% |
| PA Health & Wellness | PA Medicaid HMO | $2,557.17 | ↓ -45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,083.33 | ↓ -34% |
| Aetna | PEBTF Custom Network | $3,142.22 | ↓ -32% |
| UPMC Health Plan | Commercial | $3,378.56 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $3,631.18 | ↓ -22% |
| Aetna | Commercial | $3,696.27 | ↓ -21% |
| Coventry/First Health | Commercial | $3,882.25 | ↓ -16% |
| Wirerope Works | Commercial | $4,308.44 | ↓ -7% |
| Aetna | First Health | $5,114.34 | ↑ +10% |
| Geisinger | Commercial | $5,191.83 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $5,215.08 | ↑ +12% |
| United Healthcare | Commercial | $5,300.32 | ↑ +14% |
| Cigna | Commercial | $5,308.06 | ↑ +14% |
| Multiplan | Auto | $6,044.22 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $6,044.22 | ↑ +30% |
| America's Choice | PPO | $6,199.20 | ↑ +33% |
| InterGroup | PPO | $6,199.20 | ↑ +33% |
| Three Rivers Provider Network | All | $6,974.10 | ↑ +50% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Lead acuity x4 spiral l 86cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $7,381.80 | $2,322.35 – $11,072.70 |
| UPMC Passavant-McCandless | Pittsburgh | $13,576.80 | $2,344.46 – $19,233.80 |
| UPMC Presbyterian | Pittsburgh | $27,605.40 | $825.12 – $19,428.86 |
| UPMC Somerset | Somerset | $9,999.00 | $2,298.86 – $12,498.75 |