healthcosts.net
Pulse ox single at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$62.40
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.
$104.00
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.
$2.18 with Geisinger vs $24.80 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $2.18 | ↓ -97% |
| UPMC Health Plan | CHIP | $2.18 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $2.18 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2.23 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $2.53 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2.78 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $3.37 | ↓ -95% |
| Aetna | Medicare | $8.37 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $12.33 | ↓ -80% |
| Aetna | PEBTF Custom Network | $12.57 | ↓ -80% |
| UPMC Health Plan | Commercial | $13.52 | ↓ -78% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $14.53 | ↓ -77% |
| Aetna | Commercial | $14.79 | ↓ -76% |
| Coventry/First Health | Commercial | $15.53 | ↓ -75% |
| Wirerope Works | Commercial | $17.24 | ↓ -72% |
| Aetna | First Health | $20.46 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $20.49 | ↓ -67% |
| Geisinger | Commercial | $20.77 | ↓ -67% |
| Coventry/First Health | FH-Medical Rental | $20.86 | ↓ -67% |
| United Healthcare | Commercial | $21.20 | ↓ -66% |
| Cigna | Commercial | $21.23 | ↓ -66% |
| Three Rivers Provider Network | All | $21.91 | ↓ -65% |
| Multiplan | Worker's Compensation | $22.63 | ↓ -64% |
| Multiplan | Auto | $24.18 | ↓ -61% |
| Multiplan | PPO (Includes PHCS as a Payer) | $24.18 | ↓ -61% |
| America's Choice | PPO | $24.80 | ↓ -60% |
| InterGroup | PPO | $24.80 | ↓ -60% |
Visitor-reported prices
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Pulse ox single at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $91.20 | $2.18 – $136.80 |
| UPMC Muncy | Muncy | $62.40 | $2.18 – $83.20 |
| UPMC Northwest | Seneca | $33.00 | $2.18 – $46.75 |
| UPMC Passavant-McCandless | Pittsburgh | $201.00 | $2.18 – $284.75 |
| UPMC Presbyterian | Pittsburgh | $141.00 | $2.18 – $199.75 |
| UPMC Somerset | Somerset | $98.40 | $2.18 – $123.00 |
| UPMC St. Margaret | Pittsburgh | $168.00 | $2.18 – $238.00 |
| UPMC Wellsboro | Wellsboro | $75.80 | $2.18 – $81.00 |