healthcosts.net
Mayo factor vii at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$185.40
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.
?
What you pay up front if you don't use insurance.
$309.00
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.
$5.50 with UPMC Health Plan vs $247.20 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $5.50 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $5.50 | ↓ -97% |
| UPMC Health Plan | CHIP | $5.50 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.64 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $6.40 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.03 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $8.52 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $17.69 | ↓ -90% |
| Geisinger | CHIP | $17.90 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.08 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $18.26 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $18.44 | ↓ -90% |
| Aetna | Medicare | $18.44 | ↓ -90% |
| Three Rivers Provider Network | All | $18.92 | ↓ -90% |
| United Healthcare | Medicare | $19.15 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $19.33 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19.33 | ↓ -90% |
| Multiplan | Worker's Compensation | $19.54 | ↓ -89% |
| Aetna | PEBTF Custom Network | $94.55 | ↓ -49% |
| Aetna | Commercial | $111.24 | ↓ -40% |
| Coventry/First Health | Commercial | $116.80 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $122.95 | ↓ -34% |
| UPMC Health Plan | Commercial | $134.72 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $144.80 | ↓ -22% |
| Cigna | Commercial | $158.83 | ↓ -14% |
| United Healthcare | Commercial | $171.50 | ↓ -7% |
| Wirerope Works | Commercial | $171.80 | ↓ -7% |
| Aetna | First Health | $203.94 | ↑ +10% |
| Geisinger | Commercial | $207.03 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $207.96 | ↑ +12% |
| Multiplan | Auto | $241.02 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $241.02 | ↑ +30% |
| America's Choice | PPO | $247.20 | ↑ +33% |
| InterGroup | PPO | $247.20 | ↑ +33% |
Visitor-reported prices
Comments
Mayo factor vii at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $225.00 | $5.50 – $318.75 |
| UPMC Mercy | Pittsburgh | $150.60 | $5.50 – $225.90 |
| UPMC Muncy | Muncy | $185.40 | $5.50 – $247.20 |
| UPMC Northwest | Seneca | $131.40 | $5.50 – $186.15 |
| UPMC Somerset | Somerset | $91.20 | $5.50 – $114.00 |
| UPMC St. Margaret | Pittsburgh | $201.00 | $5.50 – $284.75 |
| UPMC Wellsboro | Wellsboro | $224.00 | $5.00 – $252.00 |