Prostate biopsy, any mthd at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$97.80
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.
$163.00
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.
$61.61 with Coventry/First Health vs $370.39 with PA Health & Wellness — 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 |
|---|---|---|---|
| Coventry/First Health | Commercial | $61.61 | ↓ -37% |
| Highmark BCBS of PA | Managed Care - Social Mission | $64.86 | ↓ -34% |
| Aetna | PEBTF Custom Network | $66.10 | ↓ -32% |
| UPMC Health Plan | Commercial | $71.07 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $76.38 | ↓ -22% |
| Aetna | Commercial | $77.75 | ↓ -21% |
| PA Health & Wellness | PA Medicaid HMO | $89.65 | ↓ -8% |
| United Healthcare | Commercial | $90.47 | ↓ -7% |
| Wirerope Works | Commercial | $90.63 | ↓ -7% |
| Aetna | First Health | $107.58 | ↑ +10% |
| Geisinger | Commercial | $109.21 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $109.70 | ↑ +12% |
| Cigna | Commercial | $111.66 | ↑ +14% |
| Multiplan | Auto | $127.14 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $127.14 | ↑ +30% |
| America's Choice | PPO | $130.40 | ↑ +33% |
| InterGroup | PPO | $130.40 | ↑ +33% |
| Three Rivers Provider Network | All | $146.70 | ↑ +50% |
| United Healthcare Community Plan for Families | PA Medicaid | $253.07 | ↑ +159% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $346.31 | ↑ +254% |
| UPMC Health Plan | Managed Medicare | $349.81 | ↑ +258% |
| Aetna | Medicare | $353.24 | ↑ +261% |
| AmeriHealth Caritas | Medicare | $353.24 | ↑ +261% |
| United Healthcare | Medicare | $366.96 | ↑ +275% |
| Highmark Wholecare (prev Gateway) | Medicare | $370.35 | ↑ +279% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $370.39 | ↑ +279% |
| Multiplan | Worker's Compensation | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $287.40 | $239.50 – $774.58 |
| UPMC Bedford | Everett | $308.40 | $123.74 – $462.60 |
| UPMC Carlisle | Carlisle | $643.20 | $146.86 – $911.20 |
| UPMC Cole | Coudersport | $1,301.40 | $53.00 – $1,735.20 |
| UPMC Community Osteopathic | Harrisburg | $643.20 | $214.40 – $911.20 |
| UPMC East | Monroeville | $308.40 | $127.95 – $781.96 |
| UPMC Hamot | Erie | $334.20 | $157.05 – $774.58 |
| UPMC Northwest | Seneca | $308.40 | $129.14 – $370.39 |