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Ot evaluation moderate complexity patient/family at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$197.40
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.
$329.00
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.
$32.42 with United Healthcare Community Plan for Families vs $263.20 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $32.42 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $88.57 | ↓ -55% |
| Aetna | Medicare | $88.83 | ↓ -55% |
| Three Rivers Provider Network | All | $108.64 | ↓ -45% |
| Multiplan | Worker's Compensation | $112.19 | ↓ -43% |
| Highmark BCBS of PA | Managed Care - Social Mission | $130.91 | ↓ -34% |
| Aetna | PEBTF Custom Network | $133.41 | ↓ -32% |
| UPMC Health Plan | Commercial | $143.44 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $154.17 | ↓ -22% |
| Aetna | Commercial | $156.93 | ↓ -21% |
| Coventry/First Health | Commercial | $164.83 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $180.95 | ↓ -8% |
| Wirerope Works | Commercial | $182.92 | ↓ -7% |
| Aetna | First Health | $217.14 | ↑ +10% |
| Geisinger | Commercial | $220.43 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $221.42 | ↑ +12% |
| United Healthcare | Commercial | $225.04 | ↑ +14% |
| Cigna | Commercial | $225.37 | ↑ +14% |
| Multiplan | Auto | $256.62 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $256.62 | ↑ +30% |
| America's Choice | PPO | $263.20 | ↑ +33% |
| InterGroup | PPO | $263.20 | ↑ +33% |
Visitor-reported prices
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Ot evaluation moderate complexity patient/family at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $338.40 | $50.04 – $507.60 |
| UPMC Muncy | Muncy | $197.40 | $32.42 – $263.20 |
| UPMC Northwest | Seneca | $272.40 | $101.56 – $385.90 |
| UPMC Passavant-McCandless | Pittsburgh | $411.00 | $50.52 – $549.10 |
| UPMC Presbyterian | Pittsburgh | $748.80 | $30.40 – $1,060.80 |
| UPMC Somerset | Somerset | $303.60 | $29.13 – $379.50 |
| UPMC St. Margaret | Pittsburgh | $319.20 | $50.52 – $452.20 |
| UPMC Wellsboro | Wellsboro | $238.40 | $32.42 – $268.20 |