healthcosts.net
Repair lip full thkns >one-half vert height/cmplx at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,487.80
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.
$5,813.00
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.
$405.09 with UPMC Health Plan vs $4,650.40 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $405.09 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $405.09 | ↓ -88% |
| UPMC Health Plan | CHIP | $405.09 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $415.21 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $517.41 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $627.59 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,426.06 | ↓ -59% |
| UPMC Health Plan | Managed Medicare | $1,440.46 | ↓ -59% |
| AmeriHealth Caritas | Medicare | $1,454.59 | ↓ -58% |
| Aetna | Medicare | $1,454.59 | ↓ -58% |
| United Healthcare | Medicare | $1,511.08 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,525.06 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,525.20 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $1,600.15 | ↓ -54% |
| Three Rivers Provider Network | All | $1,711.79 | ↓ -51% |
| Multiplan | Worker's Compensation | $1,767.61 | ↓ -49% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,312.99 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,357.17 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,534.47 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,723.97 | ↓ -22% |
| Aetna | Commercial | $2,772.80 | ↓ -21% |
| Coventry/First Health | Commercial | $2,912.31 | ↓ -17% |
| Wirerope Works | Commercial | $3,232.03 | ↓ -7% |
| Aetna | First Health | $3,836.58 | ↑ +10% |
| Geisinger | Commercial | $3,894.71 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $3,912.15 | ↑ +12% |
| United Healthcare | Commercial | $3,976.09 | ↑ +14% |
| Cigna | Commercial | $3,981.91 | ↑ +14% |
| Multiplan | Auto | $4,534.14 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,534.14 | ↑ +30% |
| America's Choice | PPO | $4,650.40 | ↑ +33% |
| InterGroup | PPO | $4,650.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Repair lip full thkns >one-half vert height/cmplx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,486.60 | $405.09 – $5,229.90 |
| UPMC Presbyterian | Pittsburgh | $6,063.00 | $405.09 – $8,589.25 |
| UPMC Somerset | Somerset | $2,046.00 | $405.09 – $2,557.50 |