healthcosts.net
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$6,491.40
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.
?
What you pay up front if you don't use insurance.
$10,819.00
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.
$662.62 with United Healthcare Community Plan for Families vs $8,655.20 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $662.62 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $712.32 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $712.32 | ↓ -89% |
| UPMC Health Plan | CHIP | $712.32 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $730.12 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $909.82 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $979.47 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $989.36 | ↓ -85% |
| AmeriHealth Caritas | Medicare | $999.06 | ↓ -85% |
| Aetna | Medicare | $999.06 | ↓ -85% |
| United Healthcare | Medicare | $1,037.86 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,047.46 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,047.56 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $1,067.37 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $1,103.57 | ↓ -83% |
| Three Rivers Provider Network | All | $1,141.84 | ↓ -82% |
| Multiplan | Worker's Compensation | $1,179.07 | ↓ -82% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,304.88 | ↓ -34% |
| Aetna | PEBTF Custom Network | $4,387.10 | ↓ -32% |
| UPMC Health Plan | Commercial | $4,717.08 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $5,069.78 | ↓ -22% |
| Aetna | Commercial | $5,160.66 | ↓ -21% |
| Coventry/First Health | Commercial | $5,420.32 | ↓ -16% |
| Wirerope Works | Commercial | $6,015.36 | ↓ -7% |
| Aetna | First Health | $7,140.54 | ↑ +10% |
| Geisinger | Commercial | $7,248.73 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $7,281.19 | ↑ +12% |
| United Healthcare | Commercial | $7,400.20 | ↑ +14% |
| Cigna | Commercial | $7,411.02 | ↑ +14% |
| Multiplan | Auto | $8,438.82 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,438.82 | ↑ +30% |
| America's Choice | PPO | $8,655.20 | ↑ +33% |
| InterGroup | PPO | $8,655.20 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $6,685.80 | $567.18 – $10,028.70 |
| UPMC Passavant-McCandless | Pittsburgh | $9,867.00 | $572.58 – $13,187.75 |
| UPMC Presbyterian | Pittsburgh | $8,889.00 | $572.58 – $12,592.75 |
| UPMC St. Margaret | Pittsburgh | $4,797.00 | $572.58 – $6,795.75 |
| UPMC Wellsboro | Wellsboro | $7,850.40 | $662.62 – $8,831.70 |