healthcosts.net
Mopath procedure level 6 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$5,054.40
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.
$8,424.00
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.
$177.28 with Coventry/First Health vs $375.20 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 |
|---|---|---|---|
| Coventry/First Health | Commercial | $177.28 | ↓ -96% |
| Highmark BCBS of PA | Managed Care - Social Mission | $186.62 | ↓ -96% |
| Aetna | PEBTF Custom Network | $190.18 | ↓ -96% |
| UPMC Health Plan | Commercial | $204.48 | ↓ -96% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $219.77 | ↓ -96% |
| Aetna | Commercial | $223.71 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $235.29 | ↓ -95% |
| Cigna | Commercial | $241.07 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $257.95 | ↓ -95% |
| United Healthcare | Commercial | $260.30 | ↓ -95% |
| Wirerope Works | Commercial | $260.76 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $297.84 | ↓ -94% |
| Geisinger | CHIP | $301.35 | ↓ -94% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $304.30 | ↓ -94% |
| UPMC Health Plan | Managed Medicare | $307.38 | ↓ -94% |
| Aetna | First Health | $309.54 | ↓ -94% |
| Aetna | Medicare | $310.39 | ↓ -94% |
| AmeriHealth Caritas | Medicare | $310.39 | ↓ -94% |
| Geisinger | Commercial | $314.23 | ↓ -94% |
| Coventry/First Health | FH-Medical Rental | $315.64 | ↓ -94% |
| Three Rivers Provider Network | All | $318.61 | ↓ -94% |
| United Healthcare | Medicare | $322.44 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicare | $325.43 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $325.46 | ↓ -94% |
| Multiplan | Worker's Compensation | $329.00 | ↓ -93% |
| Multiplan | Auto | $365.82 | ↓ -93% |
| Multiplan | PPO (Includes PHCS as a Payer) | $365.82 | ↓ -93% |
| America's Choice | PPO | $375.20 | ↓ -93% |
| InterGroup | PPO | $375.20 | ↓ -93% |
Visitor-reported prices
Comments
Mopath procedure level 6 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $9,041.40 | $222.70 – $900.06 |
| UPMC Mercy | Pittsburgh | $5,299.80 | $133.36 – $891.57 |
| UPMC Northwest | Seneca | $5,299.80 | $255.72 – $672.35 |
| UPMC Presbyterian | Pittsburgh | $5,851.80 | $40.32 – $900.06 |
| UPMC St. Margaret | Pittsburgh | $5,299.80 | $167.58 – $900.06 |
| UPMC Wellsboro | Wellsboro | $2,934.00 | $113.40 – $567.00 |