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Membrane collgn porcine maci w/autologous cult chondrocytes at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$114,657.00
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.
$191,095.00
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.
$17,198.46 with Aetna vs $57,328.20 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 | $17,198.46 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $17,274.90 | ↓ -85% |
| Multiplan | Worker's Compensation | $19,083.92 | ↓ -83% |
| Highmark BCBS of PA | Managed Care - Social Mission | $25,345.43 | ↓ -78% |
| Aetna | PEBTF Custom Network | $25,829.54 | ↓ -77% |
| UPMC Health Plan | Commercial | $27,772.33 | ↓ -76% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $29,848.88 | ↓ -74% |
| Aetna | Commercial | $30,383.95 | ↓ -74% |
| Coventry/First Health | Commercial | $31,912.70 | ↓ -72% |
| PA Health & Wellness | PA Medicaid HMO | $35,033.90 | ↓ -69% |
| Wirerope Works | Commercial | $35,416.09 | ↓ -69% |
| Aetna | First Health | $42,040.68 | ↓ -63% |
| Geisinger | Commercial | $42,677.66 | ↓ -63% |
| Coventry/First Health | FH-Medical Rental | $42,868.75 | ↓ -63% |
| United Healthcare | Commercial | $43,569.43 | ↓ -62% |
| Cigna | Commercial | $43,633.13 | ↓ -62% |
| Multiplan | Auto | $49,684.44 | ↓ -57% |
| Multiplan | PPO (Includes PHCS as a Payer) | $49,684.44 | ↓ -57% |
| America's Choice | PPO | $50,958.40 | ↓ -56% |
| InterGroup | PPO | $50,958.40 | ↓ -56% |
| Three Rivers Provider Network | All | $57,328.20 | ↓ -50% |
Visitor-reported prices
Comments
Membrane collgn porcine maci w/autologous cult chondrocytes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $50,047.20 | $12,692.02 – $49,037.35 |
| UPMC Presbyterian | Pittsburgh | $308,663.40 | $11,574.90 – $54,659.25 |
| UPMC St. Margaret | Pittsburgh | $77,166.00 | $16,076.25 – $54,659.25 |