healthcosts.net
MRI cardiac morph & func wwo IV cont at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,051.00
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.
?
What you pay up front if you don't use insurance.
$5,085.00
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.
$343.82 with Highmark BCBS of PA vs $4,068.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $343.82 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $347.29 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $350.69 | ↓ -89% |
| Aetna | Medicare | $350.69 | ↓ -89% |
| United Healthcare | Medicare | $364.31 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.68 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $367.72 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $492.35 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $535.18 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $535.18 | ↓ -82% |
| UPMC Health Plan | CHIP | $535.18 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $548.56 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $683.57 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $829.14 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $986.57 | ↓ -68% |
| Three Rivers Provider Network | All | $1,055.40 | ↓ -65% |
| Multiplan | Worker's Compensation | $1,089.81 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,023.32 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,061.97 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,217.06 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,382.83 | ↓ -22% |
| Aetna | Commercial | $2,425.55 | ↓ -20% |
| Coventry/First Health | Commercial | $2,547.59 | ↓ -16% |
| Wirerope Works | Commercial | $2,827.26 | ↓ -7% |
| Aetna | First Health | $3,356.10 | ↑ +10% |
| Geisinger | Commercial | $3,406.95 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $3,422.20 | ↑ +12% |
| United Healthcare | Commercial | $3,478.14 | ↑ +14% |
| Cigna | Commercial | $3,483.22 | ↑ +14% |
| Multiplan | Auto | $3,966.30 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,966.30 | ↑ +30% |
| America's Choice | PPO | $4,068.00 | ↑ +33% |
| InterGroup | PPO | $4,068.00 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
MRI cardiac morph & func wwo IV cont at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $316.41 – $8,499.15 |
| UPMC Mercy | Pittsburgh | $1,648.80 | $283.82 – $2,473.20 |
| UPMC Muncy | Muncy | $3,051.00 | $492.35 – $4,068.00 |
| UPMC Presbyterian | Pittsburgh | $8,173.20 | $367.72 – $11,578.70 |
| UPMC Somerset | Somerset | $2,713.80 | $337.08 – $3,392.25 |
| UPMC Wellsboro | Wellsboro | $3,689.60 | $492.35 – $4,150.80 |