healthcosts.net
Small bowel endoscopy br/wa at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$3,526.20
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.
$5,877.00
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.
$64.44 with UPMC Health Plan vs $4,701.60 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $64.44 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $64.44 | ↓ -98% |
| UPMC Health Plan | CHIP | $64.44 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $66.05 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $82.30 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $99.83 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $439.04 | ↓ -88% |
| UPMC Work Partners | Workers Comp | $595.54 | ↓ -83% |
| Three Rivers Provider Network | All | $637.09 | ↓ -82% |
| Multiplan | Worker's Compensation | $657.87 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $902.61 | ↓ -74% |
| UPMC Health Plan | Managed Medicare | $911.73 | ↓ -74% |
| AmeriHealth Caritas | Medicare | $920.67 | ↓ -74% |
| Aetna | Medicare | $920.67 | ↓ -74% |
| United Healthcare | Medicare | $956.42 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicare | $965.27 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $965.36 | ↓ -73% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,338.46 | ↓ -34% |
| Aetna | PEBTF Custom Network | $2,383.12 | ↓ -32% |
| UPMC Health Plan | Commercial | $2,562.37 | ↓ -27% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $2,753.96 | ↓ -22% |
| Aetna | Commercial | $2,803.33 | ↓ -20% |
| Coventry/First Health | Commercial | $2,944.38 | ↓ -16% |
| Wirerope Works | Commercial | $3,267.61 | ↓ -7% |
| Aetna | First Health | $3,878.82 | ↑ +10% |
| Geisinger | Commercial | $3,937.59 | ↑ +12% |
| Coventry/First Health | FH-Medical Rental | $3,955.22 | ↑ +12% |
| United Healthcare | Commercial | $4,019.87 | ↑ +14% |
| Cigna | Commercial | $4,025.74 | ↑ +14% |
| Multiplan | Auto | $4,584.06 | ↑ +30% |
| Multiplan | PPO (Includes PHCS as a Payer) | $4,584.06 | ↑ +30% |
| America's Choice | PPO | $4,701.60 | ↑ +33% |
| InterGroup | PPO | $4,701.60 | ↑ +33% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Small bowel endoscopy br/wa at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,895.40 | $64.44 – $2,685.15 |
| UPMC Mercy | Pittsburgh | $1,372.20 | $64.44 – $2,058.30 |
| UPMC Muncy | Muncy | $3,358.20 | $64.44 – $4,477.60 |
| UPMC Presbyterian | Pittsburgh | $8,947.80 | $64.44 – $12,676.05 |
| UPMC St. Margaret | Pittsburgh | $1,885.20 | $64.44 – $2,670.70 |
| UPMC Wellsboro | Wellsboro | $4,264.00 | $64.44 – $4,797.00 |