healthcosts.net
Rmvl icd gen w/rplc icd gen mlt lead sys at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$6,921.60
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.
$11,536.00
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.
$583.58 with UPMC Work Partners vs $33,012.22 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 Work Partners | Workers Comp | $583.58 | ↓ -92% |
| Three Rivers Provider Network | All | $624.29 | ↓ -91% |
| Multiplan | Worker's Compensation | $644.65 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $993.28 | ↓ -86% |
| Highmark BCBS of PA | Managed Care - Social Mission | $4,590.17 | ↓ -34% |
| Aetna | PEBTF Custom Network | $4,677.85 | ↓ -32% |
| UPMC Health Plan | Commercial | $5,029.70 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $5,405.77 | ↓ -22% |
| Aetna | Commercial | $5,502.67 | ↓ -21% |
| Coventry/First Health | Commercial | $5,779.54 | ↓ -16% |
| PA Health & Wellness | PA Medicaid HMO | $6,344.80 | ↓ -8% |
| Wirerope Works | Commercial | $6,414.02 | ↓ -7% |
| Aetna | First Health | $7,613.76 | ↑ +10% |
| Geisinger | Commercial | $7,729.12 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $7,763.73 | ↑ +12% |
| United Healthcare | Commercial | $7,890.62 | ↑ +14% |
| Cigna | Commercial | $7,902.16 | ↑ +14% |
| Multiplan | Auto | $8,998.08 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,998.08 | ↑ +30% |
| America's Choice | PPO | $9,228.80 | ↑ +33% |
| InterGroup | PPO | $9,228.80 | ↑ +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 | $30,866.43 | ↑ +346% |
| UPMC Health Plan | Managed Medicare | $31,178.21 | ↑ +350% |
| Aetna | Medicare | $31,483.88 | ↑ +355% |
| AmeriHealth Caritas | Medicare | $31,483.88 | ↑ +355% |
| United Healthcare | Medicare | $32,706.55 | ↑ +373% |
| Highmark Wholecare (prev Gateway) | Medicare | $33,009.16 | ↑ +377% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $33,012.22 | ↑ +377% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen mlt lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $56,113.20 | $508.94 – $79,493.70 |
| UPMC Mercy | Pittsburgh | $36,067.20 | $504.14 – $54,100.80 |
| UPMC Presbyterian | Pittsburgh | $58,675.80 | $508.94 – $83,124.05 |
| UPMC Somerset | Somerset | $48,933.60 | $499.04 – $61,167.00 |