healthcosts.net
Plmt access bil tree sm bwl at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$6,321.60
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.
$10,536.00
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.
$253.59 with UPMC Health Plan vs $8,428.80 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $253.59 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $253.59 | ↓ -96% |
| UPMC Health Plan | CHIP | $253.59 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $259.93 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $323.91 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $392.89 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $1,515.61 | ↓ -76% |
| Three Rivers Provider Network | All | $1,621.35 | ↓ -74% |
| Multiplan | Worker's Compensation | $1,674.22 | ↓ -74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,192.27 | ↓ -34% |
| Aetna | PEBTF Custom Network | $4,272.35 | ↓ -32% |
| UPMC Health Plan | Commercial | $4,593.70 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $4,937.17 | ↓ -22% |
| Aetna | Commercial | $5,025.67 | ↓ -21% |
| Coventry/First Health | Commercial | $5,278.54 | ↓ -16% |
| Wirerope Works | Commercial | $5,858.02 | ↓ -7% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $6,007.15 | ↓ -5% |
| UPMC Health Plan | Managed Medicare | $6,067.83 | ↓ -4% |
| AmeriHealth Caritas | Medicare | $6,127.32 | ↓ -3% |
| Aetna | Medicare | $6,127.32 | ↓ -3% |
| United Healthcare | Medicare | $6,365.27 | ↑ +1% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,424.16 | ↑ +2% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6,424.76 | ↑ +2% |
| Aetna | First Health | $6,953.76 | ↑ +10% |
| Geisinger | Commercial | $7,059.12 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $7,090.73 | ↑ +12% |
| United Healthcare | Commercial | $7,206.62 | ↑ +14% |
| Cigna | Commercial | $7,217.16 | ↑ +14% |
| Multiplan | Auto | $8,218.08 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,218.08 | ↑ +30% |
| America's Choice | PPO | $8,428.80 | ↑ +33% |
| InterGroup | PPO | $8,428.80 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Plmt access bil tree sm bwl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,624.40 | $253.59 – $6,543.73 |
| UPMC Presbyterian | Pittsburgh | $24,785.40 | $253.59 – $35,112.65 |
| UPMC St. Margaret | Pittsburgh | $8,839.80 | $253.59 – $12,523.05 |