healthcosts.net
Paring/cutting benign hyperkeratotic lesion single at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$230.40
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.
$384.00
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.
$22.00 with UPMC Health Plan vs $993.28 with United Healthcare Community Plan for Families — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $22.00 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $22.00 | ↓ -90% |
| UPMC Health Plan | CHIP | $22.00 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.55 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.10 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $34.08 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $42.29 | ↓ -82% |
| Three Rivers Provider Network | All | $45.24 | ↓ -80% |
| Multiplan | Worker's Compensation | $46.71 | ↓ -80% |
| Highmark BCBS of PA | Managed Care - Social Mission | $93.51 | ↓ -59% |
| Aetna | PEBTF Custom Network | $95.29 | ↓ -59% |
| UPMC Health Plan | Commercial | $102.46 | ↓ -56% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $110.12 | ↓ -52% |
| Aetna | Commercial | $112.09 | ↓ -51% |
| Coventry/First Health | Commercial | $117.73 | ↓ -49% |
| Wirerope Works | Commercial | $130.66 | ↓ -43% |
| Aetna | First Health | $155.10 | ↓ -33% |
| Geisinger | Commercial | $157.45 | ↓ -32% |
| Coventry/First Health | FH-Medical Rental | $158.16 | ↓ -31% |
| United Healthcare | Commercial | $160.74 | ↓ -30% |
| Cigna | Commercial | $160.97 | ↓ -30% |
| Multiplan | Auto | $183.30 | ↓ -20% |
| Multiplan | PPO (Includes PHCS as a Payer) | $183.30 | ↓ -20% |
| America's Choice | PPO | $188.00 | ↓ -18% |
| InterGroup | PPO | $188.00 | ↓ -18% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $191.30 | ↓ -17% |
| UPMC Health Plan | Managed Medicare | $193.23 | ↓ -16% |
| AmeriHealth Caritas | Medicare | $195.12 | ↓ -15% |
| Aetna | Medicare | $195.12 | ↓ -15% |
| United Healthcare | Medicare | $202.70 | ↓ -12% |
| Highmark Wholecare (prev Gateway) | Medicare | $204.58 | ↓ -11% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $204.60 | ↓ -11% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↑ +331% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Paring/cutting benign hyperkeratotic lesion single at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $347.40 | $22.00 – $492.15 |
| UPMC Mercy | Pittsburgh | $197.40 | $22.00 – $296.10 |
| UPMC Northwest | Seneca | $453.00 | $22.00 – $641.75 |
| UPMC Presbyterian | Pittsburgh | $251.40 | $22.00 – $931.20 |
| UPMC Somerset | Somerset | $288.60 | $22.00 – $892.40 |
| UPMC St. Margaret | Pittsburgh | $325.80 | $22.00 – $461.55 |
| UPMC Wellsboro | Wellsboro | $29.20 | $6.57 – $993.28 |