healthcosts.net
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,505.20
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.
$5,842.00
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.
$88.55 with UPMC Health Plan vs $2,024.96 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 | $88.55 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $88.55 | ↓ -97% |
| UPMC Health Plan | CHIP | $88.55 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $90.76 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $113.10 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $137.19 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $357.66 | ↓ -90% |
| Three Rivers Provider Network | All | $382.61 | ↓ -89% |
| Multiplan | Worker's Compensation | $395.09 | ↓ -89% |
| Highmark BCBS of PA | Managed Care - Social Mission | $645.79 | ↓ -82% |
| Aetna | PEBTF Custom Network | $658.13 | ↓ -81% |
| UPMC Health Plan | Commercial | $707.63 | ↓ -80% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $760.54 | ↓ -78% |
| Aetna | Commercial | $774.17 | ↓ -78% |
| Coventry/First Health | Commercial | $813.12 | ↓ -77% |
| Wirerope Works | Commercial | $902.39 | ↓ -74% |
| Aetna | First Health | $1,071.18 | ↓ -69% |
| Geisinger | Commercial | $1,087.41 | ↓ -69% |
| Coventry/First Health | FH-Medical Rental | $1,092.28 | ↓ -69% |
| United Healthcare | Commercial | $1,110.13 | ↓ -68% |
| Cigna | Commercial | $1,111.76 | ↓ -68% |
| Multiplan | Auto | $1,265.94 | ↓ -64% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,265.94 | ↓ -64% |
| America's Choice | PPO | $1,298.40 | ↓ -63% |
| InterGroup | PPO | $1,298.40 | ↓ -63% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,559.84 | ↓ -55% |
| UPMC Health Plan | Managed Medicare | $1,575.59 | ↓ -55% |
| AmeriHealth Caritas | Medicare | $1,591.04 | ↓ -55% |
| Aetna | Medicare | $1,591.04 | ↓ -55% |
| United Healthcare | Medicare | $1,652.83 | ↓ -53% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,668.12 | ↓ -52% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,668.28 | ↓ -52% |
| United Healthcare Community Plan for Families | PA Medicaid | $2,024.96 | ↓ -42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,228.60 | $88.55 – $4,573.85 |
| UPMC Mercy | Pittsburgh | $2,952.60 | $88.55 – $4,428.90 |
| UPMC Presbyterian | Pittsburgh | $3,265.20 | $88.55 – $4,625.70 |
| UPMC Somerset | Somerset | $2,184.60 | $88.55 – $2,730.75 |
| UPMC St. Margaret | Pittsburgh | $2,428.80 | $88.55 – $3,440.80 |
| UPMC Northwest | Seneca | not published | $88.55 – $1,621.93 |
| UPMC Wellsboro | Wellsboro | not published | $88.55 – $2,024.96 |