healthcosts.net
Scan duplex aorta/ivc/iliac or bypass grafts complete at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$1,054.80
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.
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What you pay up front if you don't use insurance.
$1,758.00
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.
$116.01 with United Healthcare Community Plan for Families vs $1,406.40 with InterGroup — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $116.01 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $134.15 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $134.15 | ↓ -87% |
| UPMC Health Plan | CHIP | $134.15 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $137.50 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $171.34 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $207.83 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $232.71 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $235.06 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $237.36 | ↓ -77% |
| Aetna | Medicare | $237.36 | ↓ -77% |
| United Healthcare | Medicare | $246.58 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $248.89 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $454.37 | ↓ -57% |
| Three Rivers Provider Network | All | $486.07 | ↓ -54% |
| Multiplan | Worker's Compensation | $501.92 | ↓ -52% |
| Highmark BCBS of PA | Managed Care - Social Mission | $699.51 | ↓ -34% |
| Aetna | PEBTF Custom Network | $712.87 | ↓ -32% |
| UPMC Health Plan | Commercial | $766.49 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $823.80 | ↓ -22% |
| Aetna | Commercial | $838.57 | ↓ -20% |
| Coventry/First Health | Commercial | $880.76 | ↓ -16% |
| Wirerope Works | Commercial | $977.45 | ↓ -7% |
| Aetna | First Health | $1,160.28 | ↑ +10% |
| Geisinger | Commercial | $1,177.86 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $1,183.13 | ↑ +12% |
| United Healthcare | Commercial | $1,202.47 | ↑ +14% |
| Cigna | Commercial | $1,204.23 | ↑ +14% |
| Multiplan | Auto | $1,371.24 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,371.24 | ↑ +30% |
| America's Choice | PPO | $1,406.40 | ↑ +33% |
| InterGroup | PPO | $1,406.40 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Scan duplex aorta/ivc/iliac or bypass grafts complete at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,109.40 | $134.15 – $1,664.10 |
| UPMC Muncy | Muncy | $1,054.80 | $116.01 – $1,406.40 |
| UPMC Northwest | Seneca | $464.40 | $134.15 – $657.90 |
| UPMC Presbyterian | Pittsburgh | $1,246.80 | $108.76 – $1,766.30 |
| UPMC Somerset | Somerset | $819.60 | $63.80 – $410.50 |