healthcosts.net
MRI without fol w/cont, breast at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,543.00
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.
$5,905.00
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.
$287.67 with United Healthcare Community Plan for Families vs $5,314.50 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $287.67 | ↓ -92% |
| 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 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $347.29 | ↓ -90% |
| Aetna | Medicare | $350.69 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $350.69 | ↓ -90% |
| United Healthcare | Medicare | $364.31 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.68 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $367.72 | ↓ -90% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,349.60 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,394.48 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,574.58 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,767.08 | ↓ -22% |
| Aetna | Commercial | $2,816.68 | ↓ -21% |
| Coventry/First Health | Commercial | $2,958.41 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $3,247.75 | ↓ -8% |
| Wirerope Works | Commercial | $3,283.18 | ↓ -7% |
| Aetna | First Health | $3,897.30 | ↑ +10% |
| Geisinger | Commercial | $3,956.35 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $3,974.07 | ↑ +12% |
| United Healthcare | Commercial | $4,039.02 | ↑ +14% |
| Cigna | Commercial | $4,044.93 | ↑ +14% |
| Multiplan | Auto | $4,605.90 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,605.90 | ↑ +30% |
| America's Choice | PPO | $4,724.00 | ↑ +33% |
| InterGroup | PPO | $4,724.00 | ↑ +33% |
| Three Rivers Provider Network | All | $5,314.50 | ↑ +50% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
MRI without fol w/cont, breast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $3,543.00 | $287.67 – $5,314.50 |
| UPMC Northwest | Seneca | $2,913.60 | $308.78 – $4,127.60 |
| UPMC Presbyterian | Pittsburgh | $9,808.20 | $269.69 – $13,894.95 |
| UPMC Somerset | Somerset | $2,713.80 | $258.45 – $3,392.25 |