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Revasc intra lithotrip-stent at UPMC Williamsport

700 High Street, Williamsport, PA · UPMC · · NPI 164974648

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$20,533.20

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$34,222.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$13,412.28 with United Healthcare Community Plan for Families vs $30,799.80 with Three Rivers Provider Network — 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 →

Payer
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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
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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
United Healthcare Community Plan for Families PA Medicaid $13,412.28 ↓ -35%
Highmark BCBS of PA Managed Care - Social Mission $13,616.93 ↓ -34%
Aetna PEBTF Custom Network $13,877.02 ↓ -32%
UPMC Health Plan Commercial $14,920.79 ↓ -27%
Highmark BCBS of PA Bluecare HMO/FPLIC PPO/Traditional Products $16,036.43 ↓ -22%
Aetna Commercial $16,323.89 ↓ -21%
Coventry/First Health Commercial $17,145.22 ↓ -17%
Highmark BCBS of PA Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage $17,287.35 ↓ -16%
UPMC Health Plan Managed Medicare $17,461.97 ↓ -15%
Aetna Medicare $17,633.17 ↓ -14%
AmeriHealth Caritas Medicare $17,633.17 ↓ -14%
United Healthcare Medicare $18,317.95 ↓ -11%
Highmark Wholecare (prev Gateway) Medicare $18,487.43 ↓ -10%
PA Health & Wellness Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) $18,489.15 ↓ -10%
PA Health & Wellness PA Medicaid HMO $18,822.10 ↓ -8%
Wirerope Works Commercial $19,027.43 ↓ -7%
Aetna First Health $22,586.52 ↑ +10%
Geisinger Commercial $22,928.74 ↑ +12%
Coventry/First Health FH-Medical Rental $23,031.41 ↑ +12%
United Healthcare Commercial $23,407.85 ↑ +14%
Cigna Commercial $23,442.07 ↑ +14%
Multiplan Auto $26,693.16 ↑ +30%
Multiplan PPO (Includes PHCS as a Payer) $26,693.16 ↑ +30%
America's Choice PPO $27,377.60 ↑ +33%
InterGroup PPO $27,377.60 ↑ +33%
Three Rivers Provider Network All $30,799.80 ↑ +50%
US Family Health Plan Tricare Prime not published by hospital
UPMC Work Partners Workers Comp not published by hospital
Multiplan Worker's Compensation not published by hospital

Visitor-reported prices

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Revasc intra lithotrip-stent at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Mercy Pittsburgh $23,640.60 $4,253.12 – $35,460.90
UPMC Passavant-McCandless Pittsburgh $22,821.00 $4,293.62 – $32,329.75
UPMC Somerset Somerset $22,899.00 $4,210.10 – $28,623.75
UPMC St. Margaret Pittsburgh $23,264.40 $4,293.62 – $32,957.90

All Pennsylvania hospitals for this procedure →