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Respirator motion mgmt simul at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$367.20
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.
$612.00
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.
$165.24 with Aetna vs $627.54 with Multiplan — 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 |
|---|---|---|---|
| Aetna | Medicare | $165.24 | ↓ -55% |
| Highmark BCBS of PA | Managed Care - Social Mission | $243.51 | ↓ -34% |
| Aetna | PEBTF Custom Network | $248.17 | ↓ -32% |
| UPMC Health Plan | Commercial | $266.83 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $286.78 | ↓ -22% |
| Aetna | Commercial | $291.92 | ↓ -21% |
| Coventry/First Health | Commercial | $306.61 | ↓ -17% |
| United Healthcare Community Plan for Families | PA Medicaid | $309.85 | ↓ -16% |
| Wirerope Works | Commercial | $340.27 | ↓ -7% |
| Geisinger | Medicaid/CHIP | $355.88 | ↓ -3% |
| UPMC Health Plan | CHIP | $355.88 | ↓ -3% |
| UPMC Health Plan | Managed Medicaid | $355.88 | ↓ -3% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $364.78 | ↓ -1% |
| Aetna | First Health | $403.92 | ↑ +10% |
| Geisinger | Commercial | $410.04 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $411.88 | ↑ +12% |
| United Healthcare | Commercial | $418.61 | ↑ +14% |
| Cigna | Commercial | $419.22 | ↑ +14% |
| Highmark Wholecare (prev Gateway) | Medicaid | $454.56 | ↑ +24% |
| Multiplan | Auto | $477.36 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $477.36 | ↑ +30% |
| America's Choice | PPO | $489.60 | ↑ +33% |
| InterGroup | PPO | $489.60 | ↑ +33% |
| Three Rivers Provider Network | All | $550.80 | ↑ +50% |
| PA Health & Wellness | PA Medicaid HMO | $551.36 | ↑ +50% |
| UPMC Work Partners | Workers Comp | $568.09 | ↑ +55% |
| Multiplan | Worker's Compensation | $627.54 | ↑ +71% |
Visitor-reported prices
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Respirator motion mgmt simul at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,260.60 | $225.33 – $1,785.85 |
| UPMC Presbyterian | Pittsburgh | $1,587.60 | $225.33 – $2,249.10 |
| UPMC Somerset | Somerset | $1,757.40 | $220.95 – $2,196.75 |
| UPMC St. Margaret | Pittsburgh | $1,189.20 | $225.33 – $1,684.70 |