healthcosts.net
Removal tunnled intprtnl cath at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,119.00
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.
$1,865.00
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.
$368.41 with UPMC Health Plan vs $3,240.82 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $368.41 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $368.41 | ↓ -67% |
| UPMC Health Plan | CHIP | $368.41 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $377.62 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicaid | $470.56 | ↓ -58% |
| PA Health & Wellness | PA Medicaid HMO | $570.77 | ↓ -49% |
| Highmark BCBS of PA | Managed Care - Social Mission | $742.08 | ↓ -34% |
| Aetna | PEBTF Custom Network | $756.26 | ↓ -32% |
| UPMC Health Plan | Commercial | $813.14 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $873.94 | ↓ -22% |
| Aetna | Commercial | $889.61 | ↓ -20% |
| Coventry/First Health | Commercial | $934.37 | ↓ -16% |
| UPMC Work Partners | Workers Comp | $975.10 | ↓ -13% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -11% |
| Wirerope Works | Commercial | $1,036.94 | ↓ -7% |
| Three Rivers Provider Network | All | $1,043.13 | ↓ -7% |
| Multiplan | Worker's Compensation | $1,077.15 | ↓ -4% |
| Aetna | First Health | $1,230.90 | ↑ +10% |
| Geisinger | Commercial | $1,249.55 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,255.14 | ↑ +12% |
| United Healthcare | Commercial | $1,275.66 | ↑ +14% |
| Cigna | Commercial | $1,277.53 | ↑ +14% |
| Multiplan | Auto | $1,454.70 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,454.70 | ↑ +30% |
| America's Choice | PPO | $1,492.00 | ↑ +33% |
| InterGroup | PPO | $1,492.00 | ↑ +33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,030.17 | ↑ +171% |
| UPMC Health Plan | Managed Medicare | $3,060.78 | ↑ +174% |
| AmeriHealth Caritas | Medicare | $3,090.78 | ↑ +176% |
| Aetna | Medicare | $3,090.78 | ↑ +176% |
| United Healthcare | Medicare | $3,210.81 | ↑ +187% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,240.52 | ↑ +190% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,240.82 | ↑ +190% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Removal tunnled intprtnl cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,209.40 | $255.40 – $4,546.65 |
| UPMC Mercy | Pittsburgh | $3,093.00 | $355.00 – $4,639.50 |
| UPMC Northwest | Seneca | $3,192.00 | $266.92 – $4,522.00 |
| UPMC Presbyterian | Pittsburgh | $4,459.80 | $214.97 – $6,318.05 |
| UPMC Somerset | Somerset | $10,505.40 | $206.99 – $5,493.00 |
| UPMC St. Margaret | Pittsburgh | not published | $253.59 – $3,300.84 |