healthcosts.net
Mopath procedure level 1 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,434.60
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.
$2,391.00
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.
$49.95 with United Healthcare Community Plan for Families vs $393.60 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 | $49.95 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $63.21 | ↓ -96% |
| Geisinger | CHIP | $63.96 | ↓ -96% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $64.59 | ↓ -95% |
| UPMC Health Plan | Managed Medicare | $65.24 | ↓ -95% |
| Aetna | Medicare | $65.88 | ↓ -95% |
| AmeriHealth Caritas | Medicare | $65.88 | ↓ -95% |
| Three Rivers Provider Network | All | $67.62 | ↓ -95% |
| United Healthcare | Medicare | $68.44 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicare | $69.07 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.08 | ↓ -95% |
| Multiplan | Worker's Compensation | $69.83 | ↓ -95% |
| Coventry/First Health | Commercial | $185.98 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $195.77 | ↓ -86% |
| Aetna | PEBTF Custom Network | $199.51 | ↓ -86% |
| UPMC Health Plan | Commercial | $214.51 | ↓ -85% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $230.55 | ↓ -84% |
| Aetna | Commercial | $234.68 | ↓ -84% |
| Cigna | Commercial | $252.89 | ↓ -82% |
| PA Health & Wellness | PA Medicaid HMO | $270.60 | ↓ -81% |
| United Healthcare | Commercial | $273.06 | ↓ -81% |
| Wirerope Works | Commercial | $273.55 | ↓ -81% |
| Aetna | First Health | $324.72 | ↓ -77% |
| Geisinger | Commercial | $329.64 | ↓ -77% |
| Coventry/First Health | FH-Medical Rental | $331.12 | ↓ -77% |
| Multiplan | Auto | $383.76 | ↓ -73% |
| Multiplan | PPO (Includes PHCS as a Payer) | $383.76 | ↓ -73% |
| America's Choice | PPO | $393.60 | ↓ -73% |
| InterGroup | PPO | $393.60 | ↓ -73% |
Visitor-reported prices
Comments
Mopath procedure level 1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,328.40 | $59.44 – $431.80 |
| UPMC Mercy | Pittsburgh | $1,253.40 | $53.32 – $457.20 |
| UPMC Muncy | Muncy | $238.80 | $49.95 – $318.40 |
| UPMC Northwest | Seneca | $837.60 | $58.01 – $441.15 |
| UPMC Presbyterian | Pittsburgh | $1,476.00 | $46.82 – $340.85 |
| UPMC Somerset | Somerset | $138.60 | $44.87 – $163.50 |
| UPMC St. Margaret | Pittsburgh | $837.60 | $55.22 – $431.80 |
| UPMC Wellsboro | Wellsboro | $303.20 | $49.95 – $341.10 |