healthcosts.net
Mopath procedure level 7 at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$8,008.80
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.
$13,348.00
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.
$60.48 with Coventry/First Health vs $308.83 with Multiplan — 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 |
|---|---|---|---|
| Coventry/First Health | Commercial | $60.48 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $63.66 | ↓ -99% |
| Aetna | PEBTF Custom Network | $64.88 | ↓ -99% |
| UPMC Health Plan | Commercial | $69.76 | ↓ -99% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $74.98 | ↓ -99% |
| Aetna | Commercial | $76.32 | ↓ -99% |
| Cigna | Commercial | $82.24 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $88.00 | ↓ -99% |
| United Healthcare | Commercial | $88.80 | ↓ -99% |
| Wirerope Works | Commercial | $88.96 | ↓ -99% |
| Aetna | First Health | $105.60 | ↓ -99% |
| Geisinger | Commercial | $107.20 | ↓ -99% |
| Coventry/First Health | FH-Medical Rental | $107.68 | ↓ -99% |
| Multiplan | Auto | $124.80 | ↓ -98% |
| Multiplan | PPO (Includes PHCS as a Payer) | $124.80 | ↓ -98% |
| America's Choice | PPO | $128.00 | ↓ -98% |
| InterGroup | PPO | $128.00 | ↓ -98% |
| Three Rivers Provider Network | All | $144.00 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $220.88 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $279.57 | ↓ -97% |
| Geisinger | CHIP | $282.88 | ↓ -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 | $285.65 | ↓ -96% |
| UPMC Health Plan | Managed Medicare | $288.54 | ↓ -96% |
| Aetna | Medicare | $291.37 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $291.37 | ↓ -96% |
| United Healthcare | Medicare | $302.68 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $305.48 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $305.51 | ↓ -96% |
| Multiplan | Worker's Compensation | $308.83 | ↓ -96% |
Visitor-reported prices
Comments
Mopath procedure level 7 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $15,543.60 | $56.10 – $1,080.08 |
| UPMC Mercy | Pittsburgh | $8,476.80 | $46.03 – $1,069.89 |
| UPMC Muncy | Muncy | $6,588.60 | $23.40 – $279.57 |
| UPMC Northwest | Seneca | $8,476.80 | $66.00 – $305.51 |
| UPMC Presbyterian | Pittsburgh | $8,476.80 | $29.70 – $1,080.08 |
| UPMC St. Margaret | Pittsburgh | $8,476.80 | $41.58 – $1,080.08 |
| UPMC Wellsboro | Wellsboro | $8,366.40 | $23.58 – $279.57 |